Junior High WINTERfest 2012

Please fill out the form below to register your Junior Higher for WINTERfest 2012.
Please note that you must still fill out hard copies of the Harvest Naperville release form as well as the Harvest Palos release form. These forms as well as your $50 deposit are due January 15.

Student Name
Student Gender
Student Grade
Student T-Shirt Size
Parent Name
Parent Cell Phone
Parent E-Mail Address
Will your student be checking in medications?
Are there any medical conditions we should be aware of?
	A $40 cancellation fee will be assessed for any canceled registrations for camp. A $75 fee will be assessed for any registrations canceled within seven days of the retreat. No refund will be issued if a cancellation request is not sent prior to camp departure. To cancel, please send an e-mail to the staff at bcapuano@harvestpalos.org. Check the box to confirm you agree.

Worship Location

Junior High WINTERfest 2012