Winter Retreat | December 8-10
December 8-10 | “For God gave us a spirit not of fear but of power and love and self-control.” - 2 Timothy 1:7
The retreat will cost $35 (early-bird discount) through 11/8 and $50 after that. This price includes food, a t-shirt, recreation, and a thirty-day devotional that follows-up with the curriculum. The dates are December 8-10. Students need to arrive with their bags in the youth room no later than 5:00 PM on the Friday, Dec. 8th. Your student and his/her bag will be available for pick up from the student area after church dismisses on Sunday, Dec. 10th.
Please make checks payable to "Cedar Creek Baptist Church." Payment must be submitted to the church office before 11/8 to lock-in your early-bird rate
Date of Birth
Emergency Contact Information
Emergency Contact Number
Primary Care Physician
Primary Care Physician's Number
Does your student have any condition or illness that would prevent their full participation in any physical activity?
If yes, please explain in detail here.
Is your student dependent on an albuterol or rescue inhaler?
Does your student have any of the following conditions?
Chronic Back Pain
If your student takes medications, is he/she able to manage his/her own medication?
Release & Waiver
I give consent for my student to participate in the “Winter Retreat” with Cedar Creek Baptist Church (CCBC). I do not hold CCBC, volunteers, associates, or any of her subsidiaries liable for any injuries, accidents, or illnesses incurred during the event.
I understand I am responsible for the expenses of my student’s medical care and that my family insurance is primary.
I further give my consent for my child to ride in any vehicle the sponsors may designate.
I understand that I am responsible for my child’s transportation to and from the location of the event, even though CCBC has provided transportation.
I also give my permission for my student’s photo to be used in CCBC flyers, its website, or advertisements produced by CCBC.
I have read the release and give my student permission to participate in the Winter Retreat.
“For God gave us a spirit not of fear but of power and love and self-control.” - 2 Timothy 1:7
Please Fix the Following