Winter Retreat 2026

Name

Emergency Contacts

Emergency Contact Name #1

Contact Relationship

Contact Telephone

Medical Release

Food Allergies or Medications being taken:

Yes No

If yes, please describe:

Consent

I, the parent or legal guardian of my teenager participating in the GBC Winter Retreat, grant Grace Baptist Church my permission to use photographs for any legal use, including but not limited to: publicity, copyright purposes, illustration, advertising, and web content. Furthermore, I understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.

Yes No

I, the undersigned, being the parent or legal guardian of the teenager named above, do hereby consent to the participation of my teen in the following activity conducted by Grace Baptist Church: 2026 Winter Retreat. I certify that my child is physically fit and adequately prepared to participate in this event.

I, as the parent or legal guardian, give my consent.

Description

Sunday-Tuesday | Feb. 1-3

Cost: $30 + spending money for gas station stops (there and back) and snack shop

Departing from GBC on Sunday, February 1st, @ 1:30 PM
Returning to GBC Tuesday, February 3rd, @ 2:00 PM

More details will be shared during an upcoming meeting on Sunday, January 25, following Sunday school!

Winter Retreat 2026

Description

Please Fix the Following