Adult Name(s) _______________________________________________________________________
Child(ren)’s Name(s) and Age(s) ________________________________________________________
Street Address _______________________________________________________________________
City/State/Zip Code ___________________________________________________________________
Telephone ___________________________________________________________________________
Registration_________ Adults (14 and up) @ $15.00 $___________ _________ Children (5-13) @ $4.00 $___________
Includes Saturday’s children’s programs and materials. No child care for children under four.
Total Registration: $___________
Lodging|
Cabins _____person(s) @ $10.00/person Friday night _____person(s) @ $10.00/person Saturday night |
Retreat Center and Guest House (Families will be given priority) _____person(s) @ $12.00/person Friday night _____person(s) @ $12.00/person Saturday night |
Tents _____person(s) @ $3.00/person Friday night _____person(s) @ $3.00/person Saturday night |
Total Lodging: $___________
Meals (Cost for adults and children)
Saturday Breakfast: ____ # of persons @ $4.25 per person (____ Regular ____ Vegetarian) $_________ Saturday Lunch ____ # of persons @ $4.50 per person (____ Regular ____ Vegetarian) $_________ Saturday Dinner: ____ # of persons @ $6.50 per person (____ Regular ____ Vegetarian) $_________ Sunday Breakfast: ____ # of persons @ $4.25 per person (____ Regular ____ Vegetarian) $_________ Sunday Lunch: ____ # of persons @ $3.75 per person (____ Regular ____ Vegetarian) $_________
Total Meal Costs: $___________
Total for Registration, Lodging and Meals: $___________