BSUSA YAC Retreat Jan. 2024 RegistrationRegistration form for BSUSA's Young Adult Committee (YAC) Retreat taking place in a large cabin in Gatlinburg, TN from Thursday January 4th to Sunday January 7th, 2024 ---- There are LIMITED SPOTS AVAILABLE! To secure your spot in the cabin, you must pay an initial $100 deposit due by November 5th. This is a hard deadline. A second payment to finalize your full registration fee will be due by December 5th ---- A YAC member will reach out to you to complete your second payment. Both payments together will cover the cost of the cabin & food while on the retreat ---- *NOTE: Men & women's rooms will be separated by floors! ---- **NOTE: Retreat is open to people between 18-35 years old, NO exceptions! If you have any questions, please email yacbeitsahour@gmail.comPlease enable JavaScript in your browser to complete this form.Name *FirstLastGender *MaleFemalePhone *Email *Date of Birth (must be 18 by Jan 4, 2024) *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDo you prefer to have your own bed or do you not mind sharing? *My own, single bedI don't mind sleeping next to someone if I have to (recommended for family members & friends)Note: There are limited amount of beds for everyone. Not everyone will get their own bed, but we will accommodate people attending alone to the best of our abilityAre you attending the retreat alone? *YesNoNote: If you are attending the retreat alone and not with family or friends, please select Yes Interested in buying YAC Winter Shirt Merchandise? *YesNoYAC Winter Shirt Sizing *XSSMLXLXXLPayment Due Now Price: $100.00Total$0.00Payment of $100 initial deposit to secure your spot in the cabin: *Credit CardVenmo (@beitsahourusa) -- write "YAC Retreat" in the description$100 deposit to secure your spot in the cabin! *CardName on CardEmergency ContactName *FirstLastPhone *Relationship *WaiverWaiver Form - Please read the waiver form and sign below. Must be signed by all attendees. YAC Winter Retreat Waiver Form. I, THE UNDERSIGNED PARTICIPANT, AFFIRM THAT I AM OF THE AGE OF 18 YEARS OR OLDER, AND THAT I AM FREELY SIGNING THIS AGREEMENT LINKED ABOVE "YAC Winter Retreat Waiver Form". I CERTIFY THAT I HAVE READ THIS AGREEMENT, THAT I FULLY UNDERSTAND ITS CONTENT AND THAT THIS RELEASE CANNOT BE MODIFIED ORALLY. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND THAT I AM SIGNING IT OF MY OWN FREE WILL *Submit
