2027 Youth Winter Wave Retreat

Friday, January 15 4:15pm to Sunday, January 17 2:30pm | For all students ages 11-19

We will meet at Living Vine Community Church and head to Beluah Beach for Winter Wave 2027. We will meet at Living Vine Community Church 4:15pm Friday January 15 and return 2:30pm Sunday January 17. More details will be given closer to the event.

This is an overnight event!

Early Bird Registration Special: $99 (will rise to $139 on Dec 1)

Student Information

Student Name

Student Gender

Please select one option.

Male Female

Student Grade

Please select one option.

6 7 8 9 10 11 12

Special Dietary Needs, medications, disabilities, or other noteworthy information regarding your student that we should be aware of

Parent / Guardian Consent

First & Last Name of Parent or Guardian giving permission

Parent Email

This address will receive a confirmation email

Parent Best Phone Number

Medical Form & Parental Consent

LIVING VINE REGISTRATION FORM
This is the form we ask you to fill out once per school year for each student. If you have not yet filled out the form for the 2026-2027 school year, please click HERE to do so now, and then return to this page and click the checkbox below and continue registering for Winter Wave 2027.

Living Vine Registration Form

Please select all that apply.

This Form Has Been Submitted

I consent to the above named student participating in this youth retreat, including staying overnight at Living Vine Church

Please select all that apply.

I consent

Payment

Early Registration $99 (Goes to $139 on Dec 1, 2026) $99.00

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Friday, January 15 4:15pm to Sunday, January 17 2:30pm

For all students ages 11-19

We will meet at Living Vine Community Church and head to Beluah Beach for Winter Wave 2027. We will meet at Living Vine Community Church 4:15pm Friday January 15 and return 2:30pm Sunday January 17. More details will be given closer to the event.

This is an overnight event!

Early Bird Registration Special: $99 (will rise to $139 on Dec 1)

2027 Youth Winter Wave Retreat

Description

Please Fix the Following