high School fall retreat | Student registration

September 21- 22, 2019

Lakeview Retreat Center, Auburn, WA

Schedule: Sat. 10am - Sun. 3:30pm

Registration & Payment Deadline: September 13th

Cost & Payment:

Cost: $100

To ensure the costs of HS Fall Retreat are covered, this fee is non-refundable after the registration and payment deadline (Sept. 13th). If you decide to cancel your student’s spot please contact us immediately.

Payments can be made online or by check.

Please mail or drop off checks to: Mercer Island Presbyterian Church 3605 84th Ave SE Mercer Island, WA 98040

Medical Form:

An up-to-date medical information form and release is needed for each student that participates in activities with MIPC Youth Ministries.  

If you already submitted an up-to-date online medical form during the 2019-2020 school year, you do not need to re-submit.

Retreat Info:

Important Note: Upon arrival parents and students are required to check in with MIPC Youth leaders to sign the retreat release form.

Feel free to download our suggested packing list below as you plan for the retreat. Our packing list includes instructions for medication.

Registration Form:

Date of Birth *
Date of Birth
Student Cell *
Student Cell
Adult sizing
Parent/Guardian Name 1 *
Parent/Guardian Name 1
Parent/Guardian Cell 1 *
Parent/Guardian Cell 1
Parent/Guardian Home Phone 1
Parent/Guardian Home Phone 1
Parent/Guardian Name 2
Parent/Guardian Name 2
Parent/Guardian Cell 2
Parent/Guardian Cell 2
Parent/Guardian Home Phone 2
Parent/Guardian Home Phone 2
Medical *
I have completed a current medical information form for my child and it is on file with the ROCK.
Scholarship money is available to assist students with the tuition payment, who would otherwise be unable to participate due to financial reasons. We ask that you would pay as much as you are able, so that we are able to assist as many families as we can. All requests are confidential. We don't ever want money to be a barrier to someone's involvement!
Sign Up for the ROCK Newsletter
By checking this box you are agreeing to be signed up to receive our weekly ROCK Middle School newsletter.