LexStudents Fall Retreat

October 13-15

A discipleship weekend for 7th-12th graders

Look Up Lodge | Travelers Rest, SC

Look Up Lodge | Travelers Rest, SC

$115 early pricing, $145 after September 3 | Cash or check can be turned into church office

$115 early pricing, $145 after September 3 | Cash or check can be turned into church office

Please complete the form below.

First Name

Last Name

Student Current Grade

Date of Birth

T-Shirt Size

Parent/Guardian First name

Parent/Guardian Last Name

Parents Email

Parent Cell Phone

Student Cell Phone

(If applicable)

Address

City

State

Zip Code

Insurance Card

A completed health form is required. Forms can be mailed or dropped off at 308 E. Main St., Lexington, SC 29072