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2019 Fall Youth Trip
The youth are going to Grace Point, August 16-18, 2019. This is a great opportunity for our youth to form a community, an Episcopal Youth Community (EYC), at the beginning of the school year.
The EYC will leave the St. Timothy's parking lot on Friday, August 16th at 4 p.m. We will return on Sunday, August 18th. Participants will receive a packing list and permission slip a week prior to leaving. The cost is $100. Scholarships are available on an as needed basis.
Parent Name
Parent Phone Number
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Parent Email
Additional Parent Name
Additional Parent Phone Number
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Additional Parent Email
I understand that I will need to fill out a paper medical release for before my youth leaves to go on the trip.
Yes
No
I would like Elizabeth to contact me about financial assistance for my family.
Yes
No
Information for Student #1
Student Name
First
Last
Gender
Please select
Male
Female
T-shirt size
Please select
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Birthday
MM
/
DD
/
YYYY
Grade (2018-2019 school year)
Please select
6th
7th
8th
9th
10th
11th
12th
Adult Chaperone
Student Email
Student Phone
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Does the participant have any allergies, physical limitations, dietary restrictions, etc that Elizabeth and the other adult leadership should be aware of during the retreat?
Information for Student #2
Student Name
First
Last
Gender
Please select
Male
Female
T-shirt size
Please select
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Birthday
MM
/
DD
/
YYYY
Grade (2018-2019 school year)
Please select
6th
7th
8th
9th
10th
11th
12th
Adult Chaperone
Student Email
Student Phone
###
-
###
-
####
Does the participant have any allergies, physical limitations, dietary restrictions, etc that Elizabeth and the other adult leadership should be aware of during the retreat?
Information for Student #3
Student Name
First
Last
Gender
Please select
Male
Female
T-shirt size
Please select
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Birthday
MM
/
DD
/
YYYY
Grade (2018-2019 school year)
Please select
6th
7th
8th
9th
10th
11th
12th
Adult Chaperone
Student Phone
###
-
###
-
####
Does the participant have any allergies, physical limitations, dietary restrictions, etc that Elizabeth and the other adult leadership should be aware of during the retreat?
Student Email
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