Group Attendee List | CBF Virginia

"*" indicates required fields

Phone

This field is for validation purposes and should be left unchanged.

Event*

Please select the event for which you are submitting this form.

Group Leader Name*

First Last

Email*

Student Participants

Student Participants*

Please list all student participants coming to Youth Fall Retreat. To add additional names click the plus sign next to the last line. To remove a name click the minus sign next to the name. Please specify a t-shirt size: Child XS, Child S, Child M, Child L, Adult XS, Adult M, Adult L, Adult XL, Adult XXL.

First and Last Name

Grade

List any dietary restrictions/food allergies

Chaperones

Chaperone Screening*

Please list the name of each adult who will be attending Fall Youth Retreat with your group this year. All chaperones must be 21 years of age or older. You will need to conduct a statewide criminal background check (for the state in which the adult resides) for each person listed. Any official state background check that you have conducted within the last three years is acceptable. Please indicate at the appropriate place that the background check has been conducted for each adult. A church staff member must complete this form. Thank you for making the effort to protect the well-being of our students. (www.ProtectMyMinistry.com is a reliable and inexpensive organization to go through for your church’s background checks. ) Please specify a t-shirt size: Child XS, Child S, Child M, Child L, Adult XS, Adult S, Adult M, Adult L, Adult XL, Adult XXL.

First and Last Name

Background Check Completed (Y/N)

Conducted On (mm/dd/yy)

List any dietary restrictions/food allergies

Staff Member Name*

First Last

Church Name*

Church Phone Number

Submission Instructions - READ CAREFULLY

Please click SAVE AND CONTINUE. You will receive a link that will allow you to come back and edit this Attendee List as needed prior to the deadline. Please DO NOT CLICK SUBMIT until your Attendee List is finalized as you will no longer be able to edit the list once you click SUBMIT. If you need to make any changes to your Attendee List after your have clicked SUBMIT or after the deadline, please contact Amy Mofield at events@cbfva.org. ONCE YOUR LIST IS FINAL YOU MUST CLICK SUBMIT in order for CBFVA to receive it.

Number