Registration Change Form Church Contact Person * Church Name Email * Retreat You Are Attending Koinonia, Fall Youth Retreat: Sept 15-17, 2023 Fall Confirmation: Oct 6-8, 2023Fall Confirmation: Oct 6-8, 2023 Please report your updated registration numbers. Final numbers are due 2 weeks before the retreat, but spots are not reserved until our registrar has contacted you to confirm availability. A $20 non-refundable deposit is required for each reserved space. Male Youth Attending Enter zero if there is no one attending in this category. Male Adults Attending You are required to provide adult chaperones at a ratio of 1 adult to 6 students of each gender. Please enter zero if there will be no male participants attending with your group. Female Youth Attending Enter zero if there is no one attending in this category. Female Adults Attending You are required to provide adult chaperones at a ratio of 1 adult to 6 students of each gender. Please enter zero if there will be no female participants attending with your group. Please update your shirt request: Youth Large Shirts Requested Adult Small Shirts Requested Adult Medium Shirts Requested Adult Large Shirts Requested Adult XL Shirts Requested Adult 2XL Shirts Requested Adult 3XL Shirts Requested Total Number of Participants reCAPTCHA If you are human, leave this field blank. Submit Δ
