Congregational Family Retreat 2024

Parent Name

Please provide the names and ages of any additional adults or children that will be attending

This address will receive a confirmation email

Phone

Address

Please give details of known allergies, dietary needs or medical conditions (Please answer- even if the answer is 'none')

I acknowledge that a waiver will be provided for me to sign, and that I will be contacted about water taxi schedule, packing checklist and rules/responsibilities prior to the retreat.

I acknowledge

Payment Options (Adults)

Payment Options (Kids)

Bed Kit (sheets, duvet, pillow, and towel). Please note: If you require one or more bed kits but would like to pay by cheque or cash, select "No Bed Kits Needed ($0 CAD)" in the below drop-down menu and inform us of how many bed kits you will need when dropping off your payment in-person.

Form of Payment Visa Mastercard Other card (please specify) Will pay at office

Other Credit Card

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Friday, June 28th, 2023

The LVUC Congregational Retreat takes place at Camp Fircom Friday June 28 to Sunday June 30th.
(Water taxi times: departs Friday 5:30pm, departs Fircom Monday 1:00 pm.)
The fee includes transportation to Gambier Island via water taxi from Sunset Marina, all meals, accommodation and activities. The cost for Kids (up to age 18) will be $100.00. Adults $285.00.
If cost is a barrier to participation, please contact Eric about options.

If you have any questions, please contact eric@lynnvalleychurch.com

Congregational Family Retreat 2024

Description

Please Fix the Following