Winter Retreat Registration Form

All Winter Retreats are held at Camp Timber-Lee, East Troy, WI

Departure for the Jr. High camp will be at 3:00 PM on Friday, January 2nd.

Departure for the High School camp will be 3:00 PM on Friday, January 23rd.

Camp cost is $170 per student. Please make checks payable to “CBF” and include in your registration form. If needed, scholarships are available through our WinterXtreme Camp Sponsorship Program. For more information, email Mat Kalvelage at mathew@cbfministries.org

Please click here for the parental waiver form that must accompany your registration form.

Participant's Name (You must register each participant separately.)

First Name

Last Name

Winter Retreat Sign up

JrHi WinterXtreme Jan 2-4, 2026

Highschool WinterXtreme Jan 23-25, 2026

Sex

Male

Female

Participant's Age

Birthday

Which parent/guardian should we communicate with?

Father

Mother

Guardian

Parent or Guardian Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian Cell Phone

(###)

###

####

Parent/Guardian Email

Emergency Contact

First Name

Last Name

Emergency Contact Phone Number

(###)

###

####

Food Allergies? (Please list all or write NONE)

Physical Restrictions? (Please list all or write NONE)

Medical, mental, emotional alerts? (Please list all or write NONE)

Prescription medications? (Please list all or write NONE)

Winter Retreat Registration Form

Community Bible Fellowship

Service Times