H2H Retreat Registration

October 20-22, 2023 at Lutherdale in Elkhorn, WI
Youth's Name*
First Last
Birthdate*
MM slash DD slash YYYY
Allergies or medical information
Please list any info that may be helpful for the adult chaperones to know.
Parent/Guardian Name*
First Last
Parent's Email*
Parent's Phone*
This number will be used in case of emergency.
Registration Fee
The total cost of the retreat is $100. The first deposit of $50 is due September 17. The second deposit is due October 1. Please indicate your preferred method of payment.
- personal check/cash
- online giving thru our website

October 20-22, 2023 at Lutherdale in Elkhorn, WI