DEADLINES & REGISTRATION COST

EARLY REGISTRATION | by Oct 25th
Base retreat cost is $151, plus processing fees (total just under $160).

LATE REGISTRATION | Oct 26 - Nov 7th
Retreat cost increases by $20.

FINAL DEADLINE : NOVEMBER 7th
Registration closes at 11:59 PM November 7th.

Registration Type

STUDENT ($171.00)
High School student in 9th, 10th, 11th or 12th grade.
LEADER ($171.00)
Adult leaders/chaperones attend with a group to supervise and engage with students.
PROGRAM STAFF ($151.00)
This is for individuals on program staff only (planning team, band, speaker, etc.). If you are also supervising a group, register as a LEADER.
WORK CREW (College-Age or older) ($151.00)
Volunteer to serve! Work crew helps with setup/cleanup and activities.
WORK CREW PLUS (College-age or older) ($76.00)
In addition to helping prepare, implement and clean up retreat activities and providing general retreat help, Work Crew Plus commits to help with the following:
--- 1. Help camp staff reset the dining room after each meal.
--- 2. Help harness/unharness campers during Saturday Zip Line and Climbing Tower.
--- 3. Stay after the retreat on Sunday to help clean up Rainier Center.

*** If you cannot commit to these extra tasks, please select the first Work Crew option.

Tell us what church or group you are coming with.

Students must be registered with a group for housing and supervision purposes.
If you don't see your church or group on the list, let us know and we will track down your leader to confirm that they are coming.
If you don't have a group to come with, select that option and we will connect you with a group.

Church/Group

I have a scholarship coupon code.

SCHOLARSHIP INFO	To obtain a scholarship, please do the following PRIOR to registering.
Step 1	Talk to your church or youth leader about scholarship assistance available through your church.
Step 2	Participants from PacNWC churches who need additional financial help can visit our Scholarship Application Page to apply for assistance from the conference.
Step 3	Those who receive a scholarship will be given a coupon code to enter on this page to reduce the base registration fee.
Dual Scholarships?	If you are receiving both a church scholarship and a conference scholarship, please contact Kristi Smith ([email protected]) to receive a custom coupon code that includes both discounts.

Name of Attendee

Date of Birth

Housing Assignment

Participant Email

Participant Phone Number

Participant Address

Any allergies, dietary restrictions, medicines or other needs we need to know about?

Health Insurance Company

Policy Number

Pre-Order a MUD T-Shirt

MUD "Ascend" Tee (Unisex Cut)
• Deadline to pre-order a shirt is November 1st.
• Pre-ordered shirts will be distributed at check-in.
• There will be a few extra shirts of limited sizes available at the event for cash purchase.
Add

Add A Bonus Free Time Activity

Free time will include plenty of fun, no-cost options at the sport court, lake, activity fields and various lodges and meeting spaces. Participants may optionally participate in one Bonus Activity for a fee. If there are remaining open slots, they will be available for cash purchase at the retreat.

PLEASE NOTE: Fees will not be refunded for participants who don't show up to the scheduled activity.

Bonus Activities (Maximum 1)

Zip Line | Sat 1:30 - 3:00 PM
• Minimum Weight: 80 lbs on scale at site.
• Maximum Weight: 250 lbs on scale at site.
• Must fit into harness and protective helmet.
$12.00 ea. [10 remaining]
Add
Archery | Sat 3:30 - 5:00 PM
$5.00 ea. [Sold Out]
Climbing Tower | Sat 3:30 - 5:00 PM
• Must fit into harness and wear protective helmet.
$8.00 ea. [17 remaining]
Add

Parent/Guardian Name

Phone Number

Emergency Contact

Relationship to Attendee

Phone Number

All retreat participants must have a signed liability waiver on file in order to participate in the retreat. Adults (18 years and older) must sign their own release and minors (under 18) must have a legal parent/guardian sign the release.

Waiver Eligibility

I am registering a minor for whom I am a legal parent/guardian.
Please read and sign the electronic waiver below.
I am registering a minor, but I am not their legal parent/guardian.
Download release form below for parent/guardian to sign and either send it to us in advance or bring it to the retreat.
I am an adult registering myself.
Please read and sign the electronic waiver below.
I am registering an adult participant other than myself.
Download release form below for participant to sign and either send to us in advance or bring it to the retreat.

BILLING INFO

Name On Card

Credit Card

Visa
Mastercard
American Express
Discover

Address

Billing Email

DEADLINES & REGISTRATION COST

REGISTER NOW

REGISTRANT INFORMATION

Tell us about the person who will be attending.

OPTIONAL ADD-ONS

Order your t-shirt or reserve a bonus activity slot in advance!

Pre-Order a MUD T-Shirt

Add A Bonus Free Time Activity

Bonus Activities (Maximum 1)

PARENT/GUARDIAN INFORMATION

Contact info for the parent/guardian of camper.

EMERGENCY CONTACT INFORMATION

If we can't reach a listed parent/guardian, who should we call?

LIABILITY RELEASE

BILLING INFO