LivingWaters Youth Group 2025 Winter Retreat

February 7-9, 2025 | Please fill out this form and click submit.

Who: LivingWaters Youth Group 6th-12th grade students & friends What: A weekend of building our relationship with God and friends When: Friday, February 7th to Sunday the 9th. Where: Meet at 22222 Dodd Blvd Lakeville MN on Friday @ 5:00PM; return Sunday @ 2:00PM. The retreat will be at Camp Victory - About an hour from LivingWaters in Zumbro Falls MN. More info about the camp can be found at Camp Victory Cost: $129.00 per student

Parent Info

Parent first and last name

Parent Email

This address will receive a confirmation email

Parent Phone

Emergency contact name and phone number incase you can not be reached.

I am a legal guardian of the student I am registering for this event. They have my permission to attend.

Please select all that apply.

Yes

I give permission for pictures or video of my student to be used on LivingWaters website, Facebook, or other form of media. Use of photos or video will be highly ethical.

Please select all that apply.

Yes No

Student Info

Student Name

Student Grade

Please select all that apply.

6th 7th 8th 9th 10th 11th 12th

Student Cell Phone Number (if applicable)

Student Email Address (if applicable)

Any food allergies?

Please select one option.

No Yes (if so list below)

List any food allergies

Medical Form

Medical forms are required. However if you have already turned in a medical form for a youth event or retreat for the 2024-2025 school year we already have it on file. Upload any random image in the required field below. Bonus points for creativity!

Click this link for a copy of our medical form
https://livingwatersmn.com/wp-content/uploads/2018/10/LW-Medical-Consent-Form.doc

Please upload completed medical form here.

Upload (8MB)

Payment Info

Cost is 129.00 per student. Full payment or a 50.00 deposit per student is due by Sunday 2/2/25. Click on the drop down to select the cash or check option. Payments may be turned into Paul Carlberg or Julie Peterson

Please select payment option

Please select all that apply.

I'll pay in cash the full amount of $129 or the $50.00 deposit by 2.2.25 I'll pay by check the full amount of $129.00 or the $50.00 deposit by 2.2.25 Paul Carlberghave approved a scholarship for my student

Description

February 7-9, 2025

Please fill out this form and click submit.

LivingWaters Youth Group 2025 Winter Retreat

Description

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