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Here's what's happening at Black Rock Retreat:
Summer Camp
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Overnight
&
Day Camp
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Christian Gap Year
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Please contact me about
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Retreats
Summer Camp
Activities
Field Trips & Outdoor Education
Donations & Events
Volunteering
Working on Summer Staff
South Bound
Other
Please tell us more about how we can assist you
Please Specify
*
Group Name
*
Group Type
*
-- Please Select --
Church
College
School
Scout Troop
Youth Group
What type of retreat are you planning?
*
-- Please Select --
Adults
Children
Couples
Families
Men
Seniors
Singles
Women
Young Adults
Youth
Other
If other type of retreat, please specify
*
What activities might you be interested in?
Animal Habitat Hike
Archery
Campfire Cooking
Challenge Ropes Course
Creek Exploration
Giant Swing
Glow Dodgeball
GPS Scavenger Hunt
High Ropes
Lake and Waterslide Rentals
Laser Tag
Lifeguard Classes
Low Ropes
Nature Center
Private Pool Party Rentals
Survival Skills
Swim Lessons
Teambuilding
Water Rockets
Zipline
Preferred Start Date
*
(of retreat)
Date Format: MM slash DD slash YYYY
Preferred End Date
*
(of retreat)
Date Format: MM slash DD slash YYYY
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
*
Date Format: MM slash DD slash YYYY
Camper Gender
*
Male
Female
Camper Grade Entering in the Fall
*
-- please select --
Pre-K to Kindergarten
1st to 3rd
4th to 5th
6th to 8th
9th to 12th
Special Week (Grade Not Applicable)
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?
*
Personally
With a Group
Estimated Group Size
*
-- Please Select --
1-25
26-50
51-75
76-100
101-125
126-150
151-175
176-200
200+
Estimated Group Size
*
-- Please Select --
1-25
26-50
51-75
76-100
101-125
126-150
151-175
176-200
200+
Grade(s)
*
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Teacher Education
Preferred Date
*
Date Format: MM slash DD slash YYYY
Preferred Start Date
*
Date Format: MM slash DD slash YYYY
Preferred End Date
*
Date Format: MM slash DD slash YYYY
Would you like to schedule a tour of Black Rock Retreat?
(optional)
Yes
No
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!
Are you interested in more information about any of these fundraising events?
Spring Auction
Trail Run
Summer Staff Commissioning
Bike-a-thon
Golf Outing
Fall Banquet
Other
No
Other Fundraising Event
*
What time of the year are you available to volunteer?
*
Your Name
*
First
Last
Your Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Your Phone Number
*
This is your
Cell Phone
Home Phone
Work Phone
Your Email Address
*
Organization/Group Name
*
Add Organization Contact Information?
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Organization/Group Address
(optional)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Organization/Group Phone Number
(optional)
Please mail an information packet to:
(optional)
-- Please Select --
My Address
Organization Address
I don't need a packet, thanks
Preferred Contact Method
-- please select --
Phone
Email
Mail
Your Gender
*
Male
Female
Tell us more about how we can help you.
How did you hear about Black Rock Retreat?
(optional)
-- please select --
Referred by Someone
Went as a Child
Returning Guest
Black Rock Website
Another Website (Google, etc)
Would you like to join our e-news list?
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