EmailMe Form - 2018 Fall Mystery Trip

2018 Fall Mystery Trip

The youth are headed on a Mystery Trip, August 24-26, 2018. 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 24th at 3:30 p.m. We will return on Sunday, August 26th at 6 p.m. Participants will receive a packing list and permission slip a week prior to leaving. The cost is $90. A deposit of $65 is due at registration. For planning purposes, Elizabeth needs a head count and deposit by July 20th. Deposit are nonrefundable and scholarships are available on an as needed basis.

Parent Name
Parent Phone Number
### - ### - ####
Parent Email
Additional Parent Name
Additional Parent Phone Number
### - ### - ####
Additional Parent Email
I understand that my family is responsible for the $65 deposit even if my youth is unable to go on the trip.
Yes
No
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
T-shirt size
Birthday
MM / DD / YYYY
Grade (2018-2019 school year)
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 #2
Student Name
First Last
Gender
T-shirt size
Birthday
MM / DD / YYYY
Grade (2018-2019 school year)
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
T-shirt size
Birthday
MM / DD / YYYY
Grade (2018-2019 school year)
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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Information for Student #1

Information for Student #2

Information for Student #3