Get launched

Parent/Guardian: by God thand

th thth
have funDeadline:
doing it! th
th
+October
+October 16 16 –18
–18
+ Launch 2009
Name ______________________________________
Sign-up
Sign-up Deadline: October
October 7
7
JH Fall Retreat +
Age _______
+Please detachGrade ________
and fill-out the formGender: M return
above and
(See
(See Reverse
Reverse Side
or F to Cornerstone Church no later than October 7th.
Side for
for Registration
Registration Form
Form &
& More
More
+Registration will begin at 5pm on October 16that Cornerstone Church. Busses will be provided to take students to and from Hidden Acres.
Address ____________________________________
+Cost
+Please plan to=
City ______________ $55.00
attend a special
State ______student/parent th
Zip _________session on October 18 at 9:30a at Hidden Acres. Feel free to bring the family. N
back.
Parent/Guardian ____________________________
+Bring Bible,
CellPen, Bedding, Towels, Modest Swimwear
+Don’t+Worship
Parent’s Phone by Anthem
__________________________
Cash or bring
Bring
checkMP3 players,
for $55 Video ________________
enclosed Games, Skateboards
(Checks payable to Cornerstone Church)
+Contact joelvint@gmail.com
Medical Release with questions
Form 1 yr current: Y or N
Please +Speaker - Jeremy
circle which best describes
6th-8th grade only
Kingsley
attendee
Student check Guest of Adult
out jeremykingsley.com for more info Student Leader
+Hidden Acres Retreat
Center