IY Annual Fall Camping Trip 2023 // Registration

IY Students // I don't know about you, but I LOVE the fall season! Pumpkin spice everything, cozy sweaters, football, the anticipation of Christmas music, and...our Immanuel Youth fall camping trip, September 29th–October 1st!! We will be carpooling to Country Lake Christian Retreat in Underwood, IN (approx. 30–45 mins. from the church) around 4:00p on Friday evening and roll back up on Sunday morning in time for the main service (though probably quite smelly).

All 6th–12th-grade IY students are welcome, though discern as a family if your student can steward the opportunity responsibly. The cost of the trip is $65 per student, which includes campground fee, food, transportation, a supersoft hoodie, and priceless fun. Financial assistance is available.

Will you be joining us? The registration deadline is August 27th. More details, including what to bring, will be provided closer to the trip.

As always, if you have any questions, including about financial assistance for the trip, please don't hesitate to reach out at cfarthing@immanuelky.org.

*One student per form. Thanks!

Registration Information

Student Name

Current Grade (2023–2024 School Year)

Gender

Male Female

Mobile Phone

This address will receive a confirmation email

Emergency Contact (Full Name)

Emergency Contact (Phone Number)

Allergies (Food or Drug)

Current Medications

Medical Concerns

As we seek to care for you/your student well on this trip, is there anything else that we should know?

Hoodie (Unisex adult sizes with mild shrinkage after wash)

Payment

Immanuel Baptist Church Release Agreement

Please fill out the following release form and upload it below.

Signed Release Form

Upload (8MB)

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

IY Annual Fall Camping Trip 2023 // Registration

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