Kids Summer Retreat  //  Wesley Gardens, Savannah GA
July 21-23  //  Cost: $100 per person
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Participant's Name: *

 
Which grade did your child complete for the 2016-2017 school year? *


 
Mom's Name and Phone Number: *

 
Dad's Name and Number: *

 
Emergency Contact Name and Number: *

 
Parent Email Address: *

 
Participant's t-shirt size: *


 
Does your child have any allergies or medical conditions that we need to be aware of? *

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