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Group Name*

Organization Name*

Organization Phone Number*

Organization Address

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Group Type*

What type of retreat are you planning?*

If other type of retreat, please specify*

What activities might you be interested in?

Preferred Start Date*

Preferred End Date*

Additional Questions / Comments

Is there anything you think we should know about your group or desired dates? Have any questions for us? Let us know here!

Camper Name*

First Last

Camper Date Of Birth*

Camper Gender*

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Camper Grade Entering in the Fall*

What parts of camp are you looking for more information about?*

Registration
Program/Activities
Counselors & Staff
Facilities & Food
What to Bring
Summer Job Opportunities
Summer Volunteer Opportunities
Other

Additional Questions / Comments

Is there anything you think we should know about your group or desired dates? Have any questions for us? Let us know here!

Group / School Name*

Are you interested in personally volunteering or bringing a work group?*

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With A Group

Estimated Group Size*

Grade(s)*

Preferred Start Date*

Preferred End Date*

Would you like to schedule a tour of Black Rock Retreat

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Other Comments/Questions

Is there anything you think we should know about your group or desired dates? Have any questions for us? Let us know here!

Summer(s) worked at Black Rock Retreat*

Are you interested in more information about any of these fundraising events?

Spring Auction
Bike-a-thon
Golf Outing
Fall Banquet
Other

Other Fundraising Event*

What time of the year are you available to volunteer?*

What positions did you hold while working as part of Black Rock’s Summer Camp staff?*

Would you be willing to be a prayer partner for a summer staffer?*

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Blast Day Camp set to Launch!

Chester The Bunny Misses You Too

Partnering with Local Ministries – Mountain Conquerors

Serving Our Guests

History in the Making