MIX Winter Retreat 2025

4:30pm Friday February 7 to 12:00pm Sunday February 9 @ Grove Christian Camp in Dorena, OR | KidVenture and Elevate students are invited to join us for our annual "Mix Retreat" -- a weekend retreat for kids in 4th-8th grade. The Mix Retreat is a chance for preteen and middle school students to dig into the Bible together, build stronger relationships with other students and leaders, and have FUN! This year, our theme is "RENEW" based on Mark 12:30.

The Mix Retreat will be taking place at Grove Christian Camp in Dorena, OR. We will leave from Countryside late afternoon on Friday, February 7th and return to Countryside before second service ends on Sunday, February 9th.

The cost for the retreat is $100 and includes all food, lodging, transportation, and a themed t-shirt (with an option to upgrade to a sweatshirt). Partial and full scholarships are available by request on a first come, first serve basis. Upon signing up and paying the $20 deposit, you will receive a link to make payments between now and the retreat at your convenience.
Student Info
 
 
 
 
Parent 1 Info
 
 
 
 
 
Parent 2 Info (optional)
 
 
 
Please select all that apply.
Emergency Contact
Please provide a contact outside of the home in case parents are not able to be reached
 
 
 
First Aid and Emergency Medical Treatment
Please select one option.
I recognize that there may be an occasion where the student(s) named above may be in need of first aid or emergency medical treatment as a result of an accident, illness, or other health condition or injury. I do hearby give permission for agents of Countryside Christian Church to seek and secure any needed medical attention or treatment for the student(s) named above, including hospitalization, if in the agent's opinion such need arises. In doing so, I agree to pay all fees and costs arising from this medical treatment. I also give permission for attending physician(s) and other medical personnel to administer any needed medical treatment and again, I agree to pay for the medical treatment.
 
 
 
Release of Liability
I acknowledge and understand there are inherent risks associated with some Countryside Christian Church activities. I will assume the risks associated therewith, whether known or unknown to me at this time. I recognize that my student's attendance at a Countryside Christian Church sponsored event is a privilege and as a consideration for this privilege, I release Countryside Christian Church including it's employees, agents and trustees, from responsibility for my student's accidental physical injury, including death or illness while at a sponsored trip or activity or during travel to and from events. This release is intended to incude all claims made by my family, estate, heirs, personal representatives or assigns.
 
Media Consent
I hereby grant permission to Countryside Christian Church the right to take, use, reproduce, and/or distribute photographs, films, video, and sound recordings of my student, without compensation or approval of rights, for use in materials created for the purposes of promoting the activites of Countryside Christian Church.
 
Authorization to Participate
I represent that I am the parent/guardian of the above named student. I give permission for the above named student to participate in this activity. I consent on behalf of the above named student to the Emergency Treatment Authorization and other agreements as indicated above. Furthermore, I understand that my signature below certifies that the information contained herein is accurate and truthful.
 
Payment
We accept payments with the full balance due by Sunday February 2
Please select all that apply.
 
Shirt/Hoodie Size
Themed t-shirts are included in the cost of registration. Option to upgrade to a hoodie sweatshirt for additional cost (see "Hoodie Upgrade" under "Payment").
Please select one option.
 
 
 
 
 
 

Description

4:30pm Friday February 7 to 12:00pm Sunday February 9 @ Grove Christian Camp in Dorena, OR
KidVenture and Elevate students are invited to join us for our annual "Mix Retreat" -- a weekend retreat for kids in 4th-8th grade. The Mix Retreat is a chance for preteen and middle school students to dig into the Bible together, build stronger relationships with other students and leaders, and have FUN! This year, our theme is "RENEW" based on Mark 12:30.

The Mix Retreat will be taking place at Grove Christian Camp in Dorena, OR. We will leave from Countryside late afternoon on Friday, February 7th and return to Countryside before second service ends on Sunday, February 9th.

The cost for the retreat is $100 and includes all food, lodging, transportation, and a themed t-shirt (with an option to upgrade to a sweatshirt). Partial and full scholarships are available by request on a first come, first serve basis. Upon signing up and paying the $20 deposit, you will receive a link to make payments between now and the retreat at your convenience.