2026 Youth Fall Retreat

Name of Student

Student Gender

Male Female

Allergies

Medications

Emergency Contact: (Name and Number)

Insurance info: (Name and Number)

PARENTS- If you have any special instructions or restrictions for your child, please list them here:

Parents Signature: This Signature confirms that I hereby give witness to the proper completion of this form by the minor's parent or guardian. I release and hold harmless Hosanna Fellowship, Jacob and Deanna Dowling, and designated Chaperones from Liability, fully and completely. I release Jacob and Deanna Dowling and other designated chaperones from Hosanna Fellowship to the assistance of medical treatment for my child but not to pay for bills incurred. This E signature represents that my child is responsible and mature to obey all rules and directives given by Hosanna Fellowship and its Chaperones for the entirety of the 2026 Fall retreat. (Please type your name below)

Parents Email

This address will receive a confirmation email

This retreat will be $50 per person. That will cover all food, craft, and activity costs. If you need help covering the cost please text Jacob at 423-794-9176.

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

11/6/25 - 11/8/25

We are going to be having our Youth Fall retreat.

Drop off: 7:00pm on Friday November 6th at Hosanna
Pick up: 12:30pm on Sunday November 8th at Hosanna (this is the end of Sunday Morning Service)

Things to Bring:
Sleeping Bag/Air Mattress WE Will Have Some Extra NO NEED TO BUY ONE
Clothes for the weekend (Alethic, Comfortable and Sleep)
Socks
Toiletries
Bible/ note book
Backpack or bag to carry things throughout the day

2026 Youth Fall Retreat

Description

Please Fix the Following