Please complete the form below to register for Horizon Summer Retreat

Please complete the form below carefully
Please print and fill out the waiver and submit it to your youth director along with the check.

Name

First Name

Last Name

Email Address

Phone

(###)

###

####

Church or Group Name

If Other, please specify

Relationship

For Children, how old?

Mt. Gilead Bible Camp & Conference Center

13485 Green Valley Rd

Sebastopol, CA 95472

Family & Non-Staff Registration