Please enter the student information for one child only. You must compete an online registration form for each child you wish to register for the retreat.
Please click the following link to view the Crossroads Covenant. After you are done reading, please type your name in the box below as a digital signature.
By entering my name in the text box below, I give my permission for my son/daughter to attend Crossroads Fall Retreat at Refreshing Mountain Retreat & Adventure Center, Nov 8 – 10, 2019. I hereby grant to the Allentown Presbyterian Church staff and youth leaders the authority to secure medical treatment for my child if necessary. I release the Allentown Presbyterian Church, its staff, officers and youth leaders from any liability for injury resulting from my child’s participation in this activity. I understand that in the event my child needs to be sent home for any reason (behavior included) I will be responsible for his/her transportation.
* No refunds once forms / payments are submitted
* We cannot accept registration forms after Sunday, October 27th
* Checks should be made out to Allentown Presbyterian Church (Memo: Fall Retreat 2019)
Early Bird Registration - $165 by Sunday, October 20th
Regular Registration - $185 by Sunday, October 27th
If there is a need, Partial Scholarships are available and will be kept confidential by our staff. Choose "Scholarship" and contact Karen or JC to discuss how we can serve you in this way.
If you are going to pay by cash or check, simply choose "Cash/Check" and drop your payment in the black mailbox that is behind Crossroads.