2026 Summer Youth Retreat
Please fill out this form and click submit.
This retreat is a time for students to gather, create community, and experience a weekend full of Jesus. Students will be sleeping at local host homes. All events outside of host homes will be held at the church.
Friday July 24th - Sunday July 26th
Cost is $50 per student. If you would like to apply for a scholarship, please email or talk with Cassie & Harrison. After registration, an informational email will be sent out.
If you have any questions about the event, feel free to email
youth@risennationchurch.com
Student Name
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Student Phone
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Parent Name
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Parent Phone
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Email
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This address will receive a confirmation email
Address
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Emergency Contact Name & Number
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Food Allergies
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Is there anything else we should know?
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Payment
Regular Registration ($50.00)
I would like to apply for a scholarship ($0)
Regular Registration ($50.00)
I would like to apply for a scholarship ($0)
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
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AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
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NJ
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NM
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NT
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ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
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