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 2010 HS Breakthru Retreat

 

 December 27-30 at Timber Creek Camp

 

Grades: 9th-12th

 

Cost $210.00

(Cash, Check, Visa, or Master Card)


Credit Card Form

 

Registration Begins Sunday, November 1st.

 

 Limited spots are available!

 

To register turn in the following to Rhonda:

 

1.) Register online, or download a printable version of the registration form.

 

2.) A deposit of $100.00 (You're not registered until we have your deposit.  Make checks payable to CUMC and write your child's name in the memo.)

 

3.) 2010 Breakthru Covenant (Must be notarized.)

 

4.) 2009/2010 CUMC Student Activity Medical Release Form

 


Final Balance of $110.00 is due December 3rd.

 

Registration Deadline is December 3rd.

 

 

Refund/Cancellation Policy


 

Small Group Leaders

All new and returning Small Group Leaders must fill out a 2010 Small Group Leader application.  these forms must be turned in to us by October 31st!  Click on the link below to download an application.


Small Group Leader Application


 

Middle School Breakthru Retreat

 

 ONLINE REGISTRATION



First Name
Last Name
Email Address
Phone Number
(Format: 999-999-9999)
Grade
Gender
School
Student Cell
Mom's Cell
Mom's Email
Dad's Cell
Dad's Email
Address with Zip
T-shirt size (adult)
Roommate preferences

Please answer the simple math question below to submit the form.
2 + 2 =
6000 Old Canton Road; Jackson MS 39211 | p.601.956.6974 | f.601.956.6987 | info@christunitedjxn.com ::: LOGIN | REGISTER | SITEMAP
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