Youth Beach Retreat Registration | 2024 Middle School Boys
June 8th-15th | Middle School: June 8th-11th
High School: June 11th-15th
How Much: $185
Student Information
ATTENTION:
Middle School (6th-8th grade) & High School (9th-Grad)
Student First Name
*
Student Last Name
*
Grade going into on June 9th
*
Please select one option.
6
7
8
Select Option
6
7
8
Shirt Size
*
Please select one option.
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Select Option
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Allergies
Parent Information
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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*
Please select all that apply.
I, hereby grant permission for my child to participate in this MTP Youth event.
Payment
185
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
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AB
AE
AK
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
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
June 8th-15th
Middle School: June 8th-11th
High School: June 11th-15th
How Much: $185
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