Wednesday, February 22, 2012

Montreat Registration – On-line registration


  • Youth Basic Info:

  • Age on July 17, 2011
  • Please enter a value between 8 and 12.
  • Answer can be "none".
  • Guardian(s) Info:

  • Use address where youth lives if multiple addresses are involved
  • Emergency contact in case guardians cannot be reached:

  • Youth In-depth Info:

  • Youth Medical Info:

  • Parent Medical Approval:

  • I give my permission for my son/daughter (enter youth's name below)

  • to travel with the Wallingford Presbyterian Church to Montreat, NC. In the event of an emergency, I also give my permission for any medical treatment that may be necessary for him/her.

  • Electronic Signature

  • email signature must match email name of submitter to be valid
  • Please return this form and a non-refundable deposit of $150 by April 1st. (Make checks payable to Wallingford Presbyterian Church). The earlier you get your deposit and registration form in, the higher in the order for picking rooms you’ll be!

Share