UNITED HTC Youth Fall Retreat 2020

General Information

Name of Student

D.O.B.

Grade

If school is not included above, write here:

Name of Parent

Parent's Email

This address will receive a confirmation email

Parent's Phone

Address

Shirt Size (adult, long sleeve)

XS S M L XL 2XL 3XL

Dietary Requirements

Check All That Apply None Gluten Free Dairy Free Peanut Free Vegetarian Vegan Other Restrictions (write below)

Other Food Restrictions

Medical Information

Have you filled out a HTC Youth Master Medical form before?

Yes No

If you answer "No" OR if you answer "Yes" but you'd like to update medical information, please click on the link below:

HTC Youth Master Medical Form (valid for two (2) school years)

Note: This is required to attend UNITED Fall Retreat 2020

If you answered "Yes" and do not want to update your student's medical information, proceed to payment.

Activities

For the first time, we are offering an option between two activities for our students! On the last day, our students will be accompanied by leaders to either one of these options!

Surf Day Camp
With a two hour lesson, wetsuit and board included, our students will be instructed by CPR-certified surf instructors in Oceanside, California!

LEGOLAND™ / Sea Life™
Included are access to LEGOLAND™ and Sea Life™, our students will have a fun afternoon together to see marine life, some rides and a fellowship.

Note: Either choice are included in the costs and both events will at least have three (3) HTC Youth leaders with them for the day.

Which would your child prefer. NOTE: Option selected is final.

Surf Day Camp Sea Life / Legoland

COVID-19 Screening

We may require a COVID-19 screening for your student/s to ensure the safety of the entire group. There are free options with CVS™, RiteAid™, etc upon appointment.

Will you let your student/s be COVID-19 tested, when required?

Yes No

If not, please explain.

Payment

How are you planning to pay

Full ($199) Deposit ($100) + Balance due Oct 28 Scholarship ($100)

Due to COVID-19, we are doing our best to keep our prices at it's absolute lowest at $199 each.

This includes food, accommodation, transportation AND either a day at LEGOLAND or a Surf Day Camp!

However, our Scholarship Funds exist for families who are in tight financial circumstances. To qualify, all scholarship requests require the student selecting one in the "Scholarship Tasks Menu" below.

For each student in need, they MUST SELECT at least one (1) in the "Scholarship Tasks Menu" and PAY a deposit to secure their spot.

Note: If you are not needing a scholarship, please select the first option

Scholarship Tasks Menu (check all that apply)

Plan to pay in full, I do NOT need a scholarship Help wash and vacuum the van before UNITED Help wash and vacuum the van after UNITED Volunteer for one (1) hour for three (3) Wednesdays for Youth Group House Cleanup at UNITED

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

UNITED HTC Youth Fall Retreat 2020

Description

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