REGISTRATION: REGISTRATION: I confirm that I would like to register myself (or register my youth) for the BBC Students Winter 2024 Retreat

Student's First Name

Student's Last Name

Grade

Age

Student's Phone #

Student's Email Address

Have you completed the BBC Students 2023-24 Permission Form? (If not, please navigate to the BBC Students page to access that formafter you complete this registration). Have you completed the BBC Students 2023-24 Permission Form? (If not, please navigate to the BBC Students page to access that formafter you complete this registration). Yes, I have completed the form. No, I have not but I will complete and return the form before the retreat.

Have you made payment for this retreat yet? Have you made payment for this retreat yet? I have/will submit payment via the Giving app. I have/will submit payment via cash or check in-person.