University Christian Church
Back To School Retreat
A weekend spiritual retreat at UCC for incoming 6th through 12th graders, August 3-5.
Use this form to register and pay for the Back to School Retreat by August 1.
Name of Attendee
Grade Level of Attendee
Contact Email Address
Contact Phone Number
Does the attendee have any food allergies?
If yes, please list/explain them in the space below.
Do you want to use parking funds to pay for this attendee?
Yes (if yes, disregard the second page of this form, which contains payment information)
No (If no, enter your payment information on the next page of this form)
Do Not Fill This Out