YOUNG ADULTS' RETREAT REGISTRATION

YOUNG ADULTS' RETREAT REGISTRATION

Pastor Jono Scott / June 6-7, 2025
Theme: "Let no man despise thy youth..." - 1 Tim. 4:12
Name:*

First NameLast Name
Gender:

MaleFemale
Phone Number:*
Please enter a valid phone number.
Email:*
example@example.com
Address:*

Address

Address Line 2

CityState / Province

Postal / Zip Code
Special Requirements (C-Pap, Wheelchair Accessibility, Lower Bunk, Etc...)

Church Information
Church Name:
Pastor's Name:

First NameLast Name
Phone Number:
Please enter a valid phone number.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Church I'm Coming With:
(if different)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Accommodations
Requested accommodations (this is on a first-come first-serve basis):

CabinBringing RVBringing TentOther

Agreement
I have read the “General Information” given on the website, and I agree to abide by all the camp rules including bringing no pets.

I will assume full responsibility for my physical welfare and the physical welfare of my family members. I will not hold Treasure Mountain Bible Camp liable in case of sickness or accident.
Signature*

Clear

Payment & Submission
Please pay with one of these options:
- Pay the full price today.
- Pay the total fee upon arrival at camp.
If you prefer to pay with cash or check, please send your payment to the camp office: 1700 Marble Quarry Rd. Marble, CO 81623.

Full Camp Fee

$100.00 Quantity

Total

$0.00

Credit Card

IF YOU DO NOT RECEIVE A CONFIRMATION EMAIL, WE DID NOT RECEIVE YOUR RESPONSE.
Should be Empty: