Student Sign up

This is the individual sign up page. If you know the names of the seniors who would like to go you may fill it out for them. If you would like to reserve a number of spots please use the group sign up.

Name *
Name
Phone *
Phone
Address
Address
Your mailing address so we can mail you retreat information and resources.
Weekend *
Which Weekend would you like to attend?
Gender
Photo Submitted
Send a senior photo or selfie to 541.719.8543 or tolife@life101.net
$50 Dollar Deposit
Deposit to leader/ paid below/ mailed