Departure Time | Friday @ 4:00pm (sharp!) Arrival Time | Sunday @ 5:00pm Date | December 5-7 Location | Tyler, TX Cost | $130

High SchoolDecember 5-7

Pine Cove

Pccstudentministry.com

PACKING LIST**Everyone Must Have!!!!!**

Bible and PenPantsShorts

TENNIS SHOESShower Shoes

Towels (for swimming, showers)Bedding (pillow, sleeping bag or sheets)

SwimsuitsToiletries

FlashlightsInsect Repellent

Prescription MedicationsSun ScreenWater Bottle

$15 for meals

**Could Have**

CameraExtra Money for SnacksIpod for when sleepingPhone for travel times

**DO NOT HAVE**Alcohol, Drugs, Tobacco

Knives/FirearmsPrank Related Items

High SchoolFall Retreat 2014

Name:_______________________________________________________________________________________

Street Address: ________________________________________________________________________________

City: ____________________________________________________________ ST _________________________

Zip: _________________________________________________________________________________________

Student Email: ________________________________________________________________________________

Mom Email: __________________________________________________________________________________

Dad Email: ___________________________________________________________________________________

Student Cell:________ __________________________________________________________________________

Mom Cell: ____________________________________________________________________________________

Dad Cell: _____________________________________________________________________________________

Current Grade:_________________________________________________________________________________

Guest of: _____________________________________________________________________________________

Adult T-Shirt Size: S M L XL XXL

All Sign-Ups need to be in by November 9th!

Please note that Ben Waldron will not take any sign-ups. All sign-ups and checks need to go in a PCC envelope (not a personal envelope) and then placed in the lock box outside of Ben’s office door. Envelope’s can be found outside Ben Waldron’s door.