Kids Summer Retreat  //  Wesley Gardens, Savannah GA
July 21-23  //  Cost: $100 per person
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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