LAUNCH College Retreat

September 7-9, 2018 | COST: Free

LAUNCH is a retreat for college students in the Mobile | Baldwin County | Hattiesburg area on September 7-9, 2018 at Gulf Coast Bible Camp.

This weekend is designed to bring college students together for fun activities, small group discussions, and times of worship. This event will serve as a LAUNCH of the Mobile area College ministry.

For more details about the LAUNCH College Retreat, contact Byron Smith at 251-753-0962 or chachi114@att.net.

To register for LAUNCH, fill out the registration form below.

SIGN UP FOR LAUNCH COLLEGE RETREAT

FILL OUT THE FORM BELOW & PRESS "SUBMIT" WHEN COMPLETED

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Phone

(###)

###

####

Gender

Home Church

Allergies

Medications

Physician's Name & Phone Number

Health Insurance & Policy Number

Emergency Contact(s) & Phone Number(s)

Electronic Signature

This application has my approval. I give permission to the Camp Director to authorize routine treatment of non-emergency care in cases of injury. In an emergency, I understand that every reasonable effort will be made to contact me or the emergency contact. In the event I am not reached promptly, I hereby give permission to the physician selected by the Camp Director to hospitalize and secure proper treatment, including surgery, for my child, at my expense. I release Gulf Coast Bible Camp, its Directors and members of its staff, from any liability arising from all routine or emergency care. If you agree, please type your name below as an electronic signature.