• Winter Retreat Church Registration 2027

    Jr. FreezeOuts & Teen Meltdowns
  • This form is the Church Registration Form to be used by church groups registering for the Winter Retreats (individual campers should not use this form, please call our office with any questions or to check availability for individual registrations). 

    Medical Release Form - Must be filled out by each camper attending.  Forms must be submitted to IRBC via email (camp@irbc.org) 7 days prior to the start of the retreat.

    Payment Options:

    • Online Payment = 3% Credit Card Transaction Fee
    • Check = No Fee! (Mail a check)
  • Format: (000) 000-0000.
  • Retreat Attendees

    Fill in the number of campers & counselors attending (if none, enter "0")
  • Choose your Payment Option:
  • Combined Retreat

    Fill in the number of campers & counselors attending (if none, enter "0")
  • Choose your Payment Option:
  • Payment

    Enter the quantity for payment below for your specific retreat.
  • *

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            CAMPER - 3 Day Retreats

            Retreats #1 & #4

            $110.00$110.00
              
            COUNSELOR - 3 Day Retreat

            Retreats #1 & #4

            $60.00$60.00
              
            CAMPER - 2 Day Retreat

            Retreats #2 & #3

            $80.00$80.00
              
            COUNSELOR - 2 Day Retreat

            Retreats #2 & #3

            $40.00$40.00
              
            Subtotal
            $0.00$0.00
            Tax
            $0.00$0.00
            Total
            $0.00$0.00

            Credit Card

          • Should be Empty: