The Junction Retreat 2024 Freshmen

Tickets	Price	Fee
The Junction Retreat August 1-3, 2024	$155.00	$5.63

Total: $0.00

Additional Student Information

Student Name

Gender

Male
Female

Phone Number

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Address

Hometown

Name of High School

Student Email address

Any allergies or dietary restrictions?

Are you an incoming freshman or a transfer student?

Parent/Guardian Information

Parent/Guardian Name

Parent/Guardian Phone Number

Parent/Guardian Email Address

Second Parent/Guardian Email Address

The Junction Retreat

T-Shirt Size

If you need to arrive late to the retreat or leave early, specify so below.

Will you need any special accommodations at the retreat?

Roommate Request (Optional, but you may only request one roommate. Please type their first and last name as it would appear on their registration. Multiple roommate requests will not be acknowledged past the first name listed)

Initial here to acknowledge that you are aware that pictures and videos will be taken at the retreat and may be used for promotional materials.

How did you hear about this retreat?

Assumption of the Risk and Release of Liability

This is a liability waiver for the retreat. It is important for you to fill this out and acknowledge the risks associated with attending.

I have read and agree to the terms above.

Electronic Signature Student

Electronic Signature Parent

NOTE: The cost of the Junction Retreat is $155 + a fee of $5.63. Once you complete this form you will be prompted to pay. There will be a $25 processing fee for any student who withdraws from the retreat before July 1, the rest will be refunded. After July 1, there are no reimbursements upon withdrawal from the retreat.

Coupon Code

Total

$0.00

Billing Information

Name

Credit Card

Visa
Mastercard
American Express
Discover

Billing Address

Phone Number

Event Ticketing Software by TicketSpice