Retreat Registration Form

2008 SPCYG Summer Retreat registration form(June 24-27)

Name : ___________________________ Age : __________ Grade : _____________ Emergency contact # : _______________________

I __________________(name of student) swear, to abide by the rules and regulations of the 2008 SPCYG Summer Retreat and follow directions of the youth pastor, officers, and counselors. I swear to respect the schedule and persons in charge as well as the property belonging to the retreat site. If at any time, I break this promise-and/or act out of line-I understand that my parents will be notified to pick me up from the site and I will be sent home. Signature of participant : __________________________

I_______________(Name of Parent/Guardian) , allow _______________(name of student) to participate in the 2008 SPCYG Winter Retreat and will not hold SPCYG or any members within for injuries or mishaps. As the guardian of the participant, I understand that if the above participant may be sent home. I will be responsible for picking up the above participant if such an event occurs. Signature of Parent/Guardian : ___________________________________ Fees [make check out to Seoul Presbyterian Church]: $80 if registered before May 18th/ $90 if registered between May 18th - June 8th/ $100 if registered between June 8th - June 24th/

$120 if registered on June 24th