Teen's Last Name:*
Teen's First Name:*
Parents phone #:*
Parent's email:*
Since space is limited, please register your first and second choice as soon as possible. Participation will be granted on a first-come, first-served basis. Parents who have gone through Protecting God’s Children are needed to help in one of a variety of ways.
Please select your first choice for the retreat: *
Please select a second choice for the retreat: *
Parent’s who have gone through Protecting God’s Children are needed to contribute. Please let us know if you are willing to help out in any of these ways:
*