LW Youth Group 2026 Winter Retreat

Who: LivingWaters Youth Group 6th-12th grade students & friends
What: A weekend of building our relationship with God and friends
When: Friday, February 6th to Sunday the 8th.
Where: Meet at 22222 Dodd Blvd Lakeville MN on Friday @ 5:00PM; return Sunday @ 2:00PM.
Cost: $130 per student.

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

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.

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.

Yes No I would like Paul Carlberg to contact me to discuss this more

Student Info

Student Name

Student Grade

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

Student Cell Phone Number (if applicable)

Student Email Address (if applicable)

Any food allergies?

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 2025-2026 school year we already have it on file.
Click this link for the LW Medical form if needed:
Church Medical Form

Upload completed medical form here.

Upload (8MB)

Camp Victory Form

Camp Victory requires an Activity Waiver Form for each student to be completed by a legal guardian. You can fill it out online or print the form to fill it out and upload below.
Click on the link below to access the forms
https://campvictory.com/activity-waivers/

Please select what method you are providing the camp activity waiver form

I have completed the waiver form on the camp website. I will complete the downloadable form and will upload it below.

Upload the completed Camp Victory Form Here if you didn't complete one online.

Upload (8MB)

Payment Info

Cost is 130.00 per student. Full payment or a 50.00 deposit per student is due by Wednesday 1-21-26 because final numbers for our groups attendance need to be provided to the camp by 1-23-26.
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 I'll pay in cash the full amount of $130 or the $50.00 deposit by 1-21-26 I'll pay by check the full amount of $130 or the $50.00 deposit by 1-21-26 Paul Carlberg has approved a scholarship for my student and I will make a partial payment deposit by 1-21-26

LW Youth Group 2026 Winter Retreat

Description

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