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Elevation 2012

Current Medical Release Form (please print, notarize and turn in to Josh Gray or the church office)

Elevation is a weekend retreat held August 24-26  for our students.

We need volunteers to serve as host homes and volunteers to provide transportation for groups throughout the weekend.  Please register  below for students and in the sidebar to the right for volunteers.

Students will need to bring a breakfast item, 2-liter beverage, snacks to share, 2 changes of clothes minimum (including some they can do some sweaty work in), toiletries, sleeping bag, Bible, notebook and pen.

More information will follow after registration is received.  Thank you!

Student's Name (required)

Grade (choose from drop-down list)

School's Name

Gender
 Female Male

T-Shirt Size (required)

Cell Phone Number

Facebook Name

Parent Name (required)

Parent Phone (required)

Parent Cell

Parent Email (required)

Street Address (required)

City (required) State (required) Zip (required)

Medical Release Form On File? (if not, visit the PDF's page after sending)
 Yes No

Have you paid yet? (Fee is $35 each)
 Yes No

Special Requests, Needs or Comments

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