*Detach this portion of form and mail to the address below* *Registration Form must be received by December 22, 2014* January 10, 2015 Memorial High School Enter through Main doors Snow Flurry Schedule 4:00pm – 9:00pm 3:45pm-4:15pm – Drop off/Registration 4:15pm-4:30pm – Warmer Activities 4:30pm-5:00pm – Small Group Time #1 5:00pm-5:45pm – Speaker/Teen Panel 5:45pm-6:15pm – Small Group time #2 6:15pm-7:00pm-Dinner catered by Subway 7:00pm-9:00pm-Dance in café/Activities in Gym 9:00pm – Pick-up from Main Circle off Lincoln Mission Statement: To provide students with the best prevention and intervention tools possible to deal with the issues of underage drinking, drug use, and other destructive decisions, not only to oneself, but also to others. • To foster networking with positive, high school role models. • To give youth the information necessary to make informed decisions. POSSIBLE RETREAT TOPICS Overcoming Obstacles, Relationships, Self – Esteem, Making Good Choices, Resisting the Pressures to Drink *Late forms are welcome please mail to address below* *Walk up registrations on January 10th permitted T-shirt is not guaranteed with late and walk ups Student name _____________________________________ Grade Circle 5th or 6th School ____________________ T-shirt size Circle Size YM - YL – AS – AM – AL- AXL Parent Contact Name ________________________________ Parent Contact Number _______________________________ Willing to Chaperone YES or NO Cost - $20.00 ($15 for 2nd participant) Make check payable to MHS Snow Flurry Send registration form and check to: MHS Snow Flurry C/O Angie Lensing 6112 Twickingham Dr. Evansville, IN 47711 If you have any questions please email Angie Lensing at [email protected]
© Copyright 2024 ExpyDoc
