Young Adult Retreat — September 11-13 2026

Event Time:

5:30 pm

Event Location:

Tickets and prices

Ticket Options

Camper

Ages 18-35

$25.00

Total Price : $0.00

Attendee Information :

Enter Your Name^*

Enter Your Email^*

Enter Your Phone^*

Enter Your address^*

Gender^*

Camper - First Name^*

Camper - Last Name^*

Camper - Date of Birth^*

Returning camper? If not how did you hear about NOCYC^*

Grade Completed Most Recently^*

Emergency Phone Number^*

Religious Affiliation^*

Home Congregation^*

Week Attending^*

Medical History^*

FOOD ALLERGIES^*

List All Other Allergies^*

Do you use an EPI Pen and is it with you?^*

Yes No

Do you have an inhaler with you?^*

Yes No

May we give your child Tylenol if it is needed?^*

Yes No

May we give your child Advil if it is needed?^*

Yes No

Medications (Current Dosage and Times) All Medications must be turned into the staff nurse or director upon arrival at camp. No Medications are permitted in the cabins.^*

Date of last Tetanus Shot^*

First Parent/Guardian - Name & Number^*

Second Parent/Guardian - Name & Number^*

Additional Contact - Name & Number^*

Guarantor name^*

Place of Employment^*

Insurance Provider^*

Insurance Policy Number^*

Insurance Plan ID^*

Primary Care Physician - Name & Number^*

Dentist - Name & Number

Event Schedule Details

September 11, 2026 -5:30 pm

September 13, 2026 -12:00 pm

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