2025 Youth Fall Retreat

October 24-26 | Please fill out this form and click submit.

Deer Run Retreat Camps & Retreats
3845 Perkins Rd
Thompson's Station, TN 37179

Deadline to register and guarantee a t-shirt is Sunday, October 12.

Parent Name

This address will receive a confirmation email

Phone

Address

Student Name

Grade

Please select one option.

6th 7th 8th 9th 10th 11th 12th

T-Shirt Size

Please select one option.

Youth - S Youth - M Youth - L Adult - S Adult - M Adult - L Adult - XL Adult - XXL

Student Name

Grade

Please select one option.

6th 7th 8th 9th 10th 11th 12th

T-Shirt Size

Please select one option.

Youth - S Youth - M Youth - L Adult - S Adult - M Adult - L Adult - XL Adult - XXL

Student Name

Grade

Please select one option.

6th 7th 8th 9th 10th 11th 12th

T-Shirt Size

Please select one option.

Youth - S Youth - M Youth - L Adult - S Adult - M Adult - L Adult - XL Adult - XXL

Allergies

Please select one option.

Yes No

Any Information the Youth Leaders Need to Know

Payment

1 student ($100.00) 2 students ($200.00) 3 students ($300.00) Full Scholarship ($100.00) Partial Scholarship ($50.00)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

October 24-26

Please fill out this form and click submit.

Deer Run Retreat Camps & Retreats
3845 Perkins Rd
Thompson's Station, TN 37179

Deadline to register and guarantee a t-shirt is Sunday, October 12.

2025 Youth Fall Retreat

Description

Please Fix the Following