his hill winter retreats
Chill at the Hill his hill winter retreats
Please mail your application & $50 non-refundable deposit to: His Hill Youth Retreats PO Box 9, Comfort, TX 78013
Name: ____________________________________________________________________________________ Address:______________________ City:________________________ State: _________Zip:______________ Birth Date:____/____/____ Age:_____Sex: M F Current Grade:____ Shirt Size: ______________ Parents/Guardian Name(s):_________________________________________________________________ Home Phone:________________________________________ Cell:__________________________________ Parent’s Email Address: _____________________________________________________________________ Camper’s Email Address: ___________________________________________________________________ Emergency Contact (if parents cannot be reached): Name(s):___________________________ Home Phone: ___________________________ Cell: _____________________________________________ Roommate request (only one request, please): ___________________________________________
Feburary 5th-7th, 2016 Ages: 12-18 (Jr. High & High School)
Total Cost (per retreat): $150 Cost includes: $50 deposit, t-shirt, food, lodging, and activities
His Hill Retreats P.O. Box 9 Comfort, TX 78013
Please mail your application & $50 non-refundable deposit to: His Hill Youth Retreats PO Box 9, Comfort, TX 78013
Name: ____________________________________________________________________________________ Address:______________________ City:________________________ State: _________Zip:______________ Birth Date:____/____/____ Age:_____Sex: M F Current Grade:____ Shirt Size: ______________ Parents/Guardian Name(s):_________________________________________________________________ Home Phone:________________________________________ Cell:__________________________________ Parent’s Email Address: _____________________________________________________________________ Camper’s Email Address: ___________________________________________________________________ Emergency Contact (if parents cannot be reached): Name(s):___________________________ Home Phone: ___________________________ Cell: _____________________________________________ Roommate request (only one request, please): ___________________________________________
Feburary 5th-7th, 2016 Ages: 12-18 (Jr. High & High School)
Total Cost (per retreat): $150 Cost includes: $50 deposit, t-shirt, food, lodging, and activities
His Hill Retreats P.O. Box 9 Comfort, TX 78013
