Retreat Registration 2020

The 2020 Wittenberg Academy Family Retreat will be held April 23-25 at Camp Okoboji in Milford, Iowa.

Family last name *

Parent first names

Child first name

Birth Date

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Child first name

Birth Date

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Child first name

Birth Date

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Child first name

Birth Date

Month Day Year Date Picker Icon

Child first name

Birth Date

Month Day Year Date Picker Icon

Child first name

Birth Date

Month Day Year Date Picker Icon

Child first name

Birth Date

Month Day Year Date Picker Icon

Child first name

Birth Date

Month Day Year Date Picker Icon

Child first name

Birth Date

Month Day Year Date Picker Icon

Child first name

Birth Date

Month Day Year Date Picker Icon

Child first name

Birth Date

Month Day Year Date Picker Icon

Child first name

Birth Date

Month Day Year Date Picker Icon

Child first name

Birth Date

Month Day Year Date Picker Icon

Child first name

Birth Date

Month Day Year Date Picker Icon

Main contact information

Street address

Street address line 2

City

State

Zip code

Email address

Phone Number

Area Code Phone Number

Health and Liability

Health needs (please list any health needs of which you would like us to be aware)

Informed Consent and Acknowledgement

I hereby give my approval for my family’s participation in any and all activities prepared by Wittenberg Academy and Camp Okoboji during the family retreat. I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Wittenberg Academy and Camp Okoboji and all its respective officers, agents, and representatives from any and all liability for injuries to said family arising out of traveling to, participating in, or returning from Family Retreat sessions.

In case of injury to said family, I hereby waive all claims against Wittenberg Academy and Camp Okoboji including all teachers and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all activities.

Confirmation

BY ACKNOWLEDGING AND PRESSING SUBMIT BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Families will receive an email link for payment at a future date.

Wittenberg Academy 2020 Family Retreat Registration