Winter Retreat 2026

Name*

First Name Last Name

Email*

Address

Street Address

Address Line 2

City

State/Province Postcode

Country

Phone

Sex

Male
Female

BAPTIZED?

FOR MINORS ONLY: Parent / Legal Guardian

First Name

Last Name

Phone

E-mail

Medical History and Consent

Emergency Contact Name and Phone*

Insurance Company

Primary Insured Name

Policy Number or Insurance ID Number

Date of Last Tetanus Shot

Please list all food allergies

All snowmachines must be in the care and control of an adult attending the retreat. Minors may not bring their own machine unless they have previously arranged for an adult at camp to be responsible for the machine. Any attendee may not drive some else's machine without permission of the adult responsible for that machine.

I am bringing a machine
I am not bringing a machine
I am bringing a sled or a snowboard

FOR MINORS ONLY

What grade are you in?

During periods of recreation, my child may participate in the following activities with permission from the Director. *

Ride on a snowmachine
Drive a snowmachine
Sledding
Snowboarding

ADULT RESPONSIBLE FOR MINOR

ADULT & MINOR CAMPER AGREEMENT: I have read the attached camp rules and regulations and understand that they are reasonable and necessary for the success of the retreat. I also understand that transportation to and from the highway and camp is by snowmachine. I agree that i will do my best to support camp policy and abide by the rules of the camp *

I agree

Ticket	Price	Quantity
Winter Retreat 2026 (Adults and Teens)	$40.00	Sold out
Winter Retreat 2026 (Kids 6-12)	$20.00	Sold out
Total	$

2700 DeBarr Road Anchorage, AK 99508

Event Details

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