Faith Christian Outreach Center
The Word of God
Eph. 6:17
Faith Christian Outreach Center
Rt. 739
Lords Valley, PA 18428
United States
ph: 570-226-4658
fcoc
Youth Retreat 2012
(Măn’ә-fĕs tō)
Where:
Ladore Camp, Retreat, and Conference Center in Waymart, PA http://www.ladore.org/
When:
Sunday July 15th 2012 at 4pm through Tuesday July 17th 2012 after Lunch.
Ages: 5 years to 18 years
Cost: $44 per each child/adult
Call us at 570-226-4658 for more details!
Cost includes lodging, Indoor/Outdoor activities, Teachings/Workshops, Breakfasts, Lunches, and Dinners!
Please send all complete registration/order forms and monies
NO LATER THAN JUNE 14th 2012
To
FaithChristianOutreachCenter
Att: Youth Retreat
104 Red Shale Road
Lords Valley,PA18428
Please Make Checks Payable to Faith Christian Outreach Center.
If you have any questions or concerns please contact
Assistant Pastor Jacqueline Stevenson at
(570)-226-4658
FaithChristianOutreachCenter
Youth Retreat 2012
(Măn’ә-fĕs tō)
Registration Form
Name: _________________________________________________________________
Are You The Adult Representative of Your Group? Check One - Yes___ No___
HomeChurch: _______________________________________________________________
HomeChurchPhone # __(_______)____________________________________________
HomeChurchAddress: ______________________________________________________
_____________________________________________________________________________
PERSONAL INFORMATION
Sex: (Please Circle One) Male Female
Age You Will Be In July 2012: ____________________Date of Birth: ___/____/____ Last School Grade Completed: ___________________
Parent/Guardian’s Name: ___________________________________________________
Phone # (_____)_______________Cell # (_____)___________Work# (_____)___________
Address: ____________________________________________________________________
_____________________________________________________________________________
Email Address: _____________________________________________________________
Medical Information/Allergies/Dietary Needs: ________________________________
______________________________________________________________________________
______________________________________________________________________________
EMERGENCY CONTACTS:
Name: _______________________________________________________________________
Phone #: ____________________________ Cell #: _________________________________
Name: _______________________________________________________________________
Phone #: ____________________________ Cell #: _________________________________
FaithChristianOutreachCenter
Youth Retreat 2012
(Măn’ә-fĕs tō)
T-SHIRT Order Forms
We would love for everyone to order a T-Shirt for this event but it is NOT mandatory.
Your Name: ________________________________________
T-Shirt Sizes: Please CHECK the size you will need.
Child
___Small - $5.00
___Medium - $5.00
___Large - $5.00
Adult
___Small - $5.00
___Medium - $5.00
___Large - $5.00
___1x - $7.00
___2x - $7.00
___3x - $7.00
___4x - $7.00
-Add cost of T-shirt to the cost of Retreat for Total cost.-
-More Information-
- We are requesting that each church bring at least one adult representative over the age of 18 years of age.
- We will be staying in cabins with showers. Everyone will have a bed to sleep in.
- Please be sure to bring a pillow, blankets or sleeping bags, bath cloths, soap, tooth brushes/paste, bathing suit, hair dryer, and other toiletries you may need.
- There will be no air conditioning.
- Bring back packs instead of pocket books.
- You are welcome to bring snacks that don’t need to be refrigerated.
- Breakfast, lunch, and dinner will be served.
- Pack smart! This event is only 3 days so be sure to pack accordingly!
Outdoor Activities Include:
Swimming
Basketball
Volleyball
Soccer
Baseball
High Ropes
Bond Fire
Indoor Activities Include:
Foosball
Table Tennis
Pool Table
Movies
Faith Christian Outreach Center
Rt. 739
Lords Valley, PA 18428
United States
ph: 570-226-4658
fcoc
