Presbytery Spring Youth Retreat Registration

Presbytery Spring Youth Retreat Sign Up- April 2022

First and last name of youth participant:(Required)

First Last

Youth Participant Email:(Required)

Enter Email Confirm Email

Current grade level (2021-2022 school year):(Required)

Participant's cell phone number:(Required)

Adult/parent/guardian first and last name:(Required)

First Last

Adult/parent/guardian cell phone number:(Required)

Best email address to send communications (can list more than one):(Required)

Which Presbyterian church is the participant most closely associated with?(Required)

Name of contact person at above Presbyterian church (could be youth leader, CE Director, pastor or other volunteer who usually organizes/communicates about youth activities)

First Last

Email address for above person (if known)

Are you (as the adult completing this form) interested in chaperoning?(Required)

Yes

Maybe

Other

Presbytery Spring Youth Retreat Sign Up- April 2022

Presbytery of Des Moines

Resources

Follow Us