Junior High Yearly Meeting Retreats Retreats Sign Up Form

Junior High Yearly Meeting Retreats
Retreats Sign Up Form

Please complete and send to sign up for our next JHYM Retreat. Retreat sign ups are on a first-come basis. When we move to a wait list you will be notified promptly. An updated Health and Safety Form must also be on file at the beginning of the retreat.

Please complete and submit one form per child from the same family.

Date of JHYM Retreat
Child's Name:
Grade:
Age:
Date of Birth:	(month/day/year)
Home Phone:	(Please include Area Code)
Cell Phone:	(Please include Area Code)
Address:	(Number and Street)
City/Town:
State:
Zip Code:
Parent's Email:
Child's Email:	(If Available)
First Parent's Name:
Second Parent's Name:
Meeting Attended:
Please Check:	New to JHYM Retreats. Attended JYM Retreats Previously
Comment?

Please review info and submit. Names and addresses are kept for retreat related purposes only in a database maintained by Gretchen Baker-Smith, JHYM Retreats Coordinator and the New England Yearly Meeting Office.