MS Fall Retreat Registration

Student Information
Name *
T_Shirt size *
Address *
Parent/Guardian Information
Parent/Guardian Name *
Parent/Guardian Name
Parent /Guardian Phone *
Parent /Guardian Phone
I will follow the rules of conduct and directions given to me by any of the adult leaders of this event. I understand that if I choose not to follow any rules of conduct, and/or directions given to me by any leader of this event, that I will be sent home without a refund. If I bring or participate in any illegal activity (drug/alcohol) I understand that the police will be called first and then my parents will be notified. *