To apply for the 2025 Girl’s Summer Jam Youth Retreat, please fill out the information below with the applicant’s information and pay the $25 application fee (please note, this fee is non-refundable and non-transferable).

Once your application has been received a member of our staff will reach out to you for the next steps regarding the registration process.

Fee

Application Fee ($25.00)

Personal Information

Attendee’s Full Name

Guardian’s Full Name

Address

Date of Birth

Attendee’s Email

Attendee’s Cell phone number

Guardian’s email address

Guardian’s Cell phone

How many years have you attended the annual Summer Jam Girl’s Retreat?

Donation Amount

Add 3% to my donation to cover credit card fees.

Total

$0.00

Billing Information

Name

Credit Card

Visa
Mastercard
American Express
Discover

Address

Mobile Phone Number

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Please note: Should your plans change and you are no longer able to attend Summit, we are able to issue refunds for your registration minus a $5 service fee per registration.

Event Registration Software by RegFox

2025 Girl’s Summer Jam Youth Retreat Application

Personal Information

Billing Information