Retreat Test Form

Name

First Name

Last Name

Cell #

(If you have one)

Age

Grade

Shirt Size

Youth Small

Youth Medium

Youth Large

Adult Small

Adult Medium

Adult Large

Adult Extra Large

Adult XXL

Adult XXXL

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

The theme for our retreat is "Time Out." What does it mean to you to take a time out?

Do you have any allergies?

Food, medication, etc.

Do You Attend Hamilton Church of Christ?

Yes/No If no, where do you attend?

Section

Parent/Guardian Name

First & Last

Parent/Guardian Cell #