The Getaway Registration Form Registration Deadline: Friday Feb. 14/14 Complete both sides of this form, cut along line, and give to your youth pastor with payment. Make cheques payable to your local church. Name: ________________________________________ Age: _______ Grade: _______ Address: __________________________________ City: _________________________ Postal Code: ______________ Phone: ___________________ Cell: ________________ Email: Shiloh Johnston – 778- 686-3067 [email protected] Jordan Bradbeer – 604- 562-2511 [email protected] m Sabrina - 778-846-7213 [email protected] Trevor Chong – 778-837- 8693 [email protected] m Grant Hill – 778-384- 9876 [email protected]