SIgn up here!

WHEN: OCTOBER 31st - NOV 3rd (THURSDAY 7PM - SUNDAY 12PM) or you can come down that Friday until Sunday, if getting off work is an issue!

WHO: AGES 18 TO LATE 20s (if you are concerned that you feel you are too old, you’re not, don’t overthink it, come be apart!)

WHERE: CAMP MIHASKA, BOURBON, MO

HOW MUCH: Whole Weekend: $140 (Thursday Night - Sunday Noon) - Can't make it till Friday? : $115 (Friday Night - Sunday Noon)

WHY: This is a time to grow closer with eachother and God. We would love for you to be apart, and invite others who might enjoy!

Form #1 (info sheet)

NameAgeMale / FemaleStreet AddressPhone NumberEmail AddressT-Shirt SizeEMERGENCY CONTACTNameRelationEmergency Contact's Phone NumberRelease of Liability & Medical Consent FormLIABILITY RELEASE:

In consideration of my involvement in the Fall Retreat sponsored by Crosspoint Church, Thursday October 12th - Sunday October 15th, 2023. 1, the undersigned, along with my heirs, do hereby release, forever discharge and agree to hold harmless Crosspoint Church, their pastors, directors, employees, volunteers and teachers from any and all liability, claims or demands for accidental personal injury, sickness (including Covid-19) or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by me while involved in the Retreat activities except for matters caused by the negligence or willful misconduct of the officers, members, agents or employees of Crosspoint Church while acting within the scope of their duties in relationship to Crosspoint Church. I hereby assume all risk of accidental personal injury, sickness (including Covid-19), death, damage, and expense as a result of my participation in the recreation and work activities involved therein. I further agree to hold harmless and indemnify said Church for any liability sustained by said Church as the result of my negligent, willful, or intentional acts, including expenses incurred attendant there to.

MEDICAL TREATMENT PERMISSION:

In the event that I am incapacitated and cannot make a decision regarding my medical care, I authorize an adult representative from said Church to consent to any emergency x-ray examination, anesthetic, medical, surgical or dental diagnosis or treatment and hospital care, to be rendered to me on the advice of any physician or dentist licensed under the provisions of the Medical Practice Act or the medical staff of a licensed hospital or emergency care facility. I shall be liable and agree to pay all costs and expenses incurred in connection with such medical and dental services rendered to me pursuant to this authorization.

*BY TYPING "(YOUR NAME), agree to the statement above" BELOW, YOU CONSENT TO THE INFORMATION ABOVE.

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Form #2 (Payment sheet)

Once you fill out both of these forms, you will be all set for retreat!

Click Here

YOUNG ADULTS RETREAT

SIgn up here!

Form #1 (info sheet)

Form #2 (Payment sheet)