Adopteen Midpoint Retreat

January 13 - 15, 2018
Austin, TX
YMCA Camp Twin Lakes

Registration Deadline: 12/15/2017*

Registration fee: $280/camper

(Covers 3 days & 2 nights accommodations, transportation, and activities. Please see our program outline for more details.)

*Registration will close at 50 campers or on December 15, 2017, whichever is reached first

Personal Information
First Name:  
Last Name:  
Parent(s) Name(s):  
Birth Date:
(i.e 12/12/1989)
 
Birth Province/Country:
Address:  
City:  
State/Province:  
Zip Code:  
Primary Phone:
Primary Email:
Secondary Email:  
Preferences
Vegetarian diet:
Kosher diet:
Gluten-Free diet:
Other diet:
Requested Cabinmates
(request up to 3, if any)
T-Shirt Size
(Adult Sizes):



 
How did you hear about Adopteen?
If other, please explain:  
Additional Information
I am allergic to
(please check all that apply):









Please list allergies:
Any medical conditions we should be aware of?