2025 Beach Retreat!

Student Information:

Please choose one of the following:

Student

Chaperone

Cook

First Name

Last Name

Birthdate

Gender

Allergies

Which church are you participating with?

First Methodist Church of Trussville

Ridgecrest Baptist Church

Parent Contact Information:

First Name

Last Name

Phone Number

First Name

Last Name

Phone Number

I understand that this trip will take place on Thursday, July 17th and end on Monday, July 21st. I understand that the above participant will be staying at Laguna Beach Christian Retreat in Panama City, Florida. I also understand that the beginning cost for this trip is $250/person (With the opportunity to lower the cost through fundraisers) and is due on July 13th unless otherwise discussed with Phillip McEvoy.

Must be checked!

Yes

Signature