Young Adults Retreat Registration Form

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Provinces

BC

AB

ON

QB

Name *

First

Last

Email *

Phone Number *

Age *

Gender *

Male
Female

Mailing Address *

City/Town *

Postal Code *

Allergies/Dietary Needs *

Is there anyone you would like to share a cabin with?

The more people you put down, the less likely it will work out. Choose one or two people and go from there!

"I agree that the Faith Mission (in Canada) shall have the right to use my photo for their website or other promotional materials." *

Yes
No

"I will obey all health and safety rules and restrictions that the Faith Mission (in Canada) is required to abide by according to the restriction at the time of this retreat." *

Yes

Faith Mission Canada Head Office and Campbellville Ontario Retreat Centre

P.O. Box 376 Campbellville ON L0P 1B0 director@faithmissioncanada.org office@faithmissioncanada.org 905-854-3284

Falkland B.C. Retreat Centre

4690 Hoath Rd. Falkland BC V0E 1W1 falkland@faithmissioncanada.org 250-540-2261 | 250-540-2260

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