Christ Church NYC Retreat

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Christ Church NYC Retreat - Registration

Please fill in your registration details below. To secure a spot, please make a 50% deposit (check payment only) when you register. All payment information are listed on the Retreat Brochure, which you can download from our website.

Email *

PERSONAL DETAILS

Please include names of all your family members who will be attending.

Name(s) *

Phone number(s) *

Email address - others (e.g. spouse)

TWO CHOICES OF ACCOMMODATION

Please select either the Cottage Room or the Overlook Dorm. Preferences for accommodation will be processed in the order they arrive.

Please select your choice of accommodation: *

Cottage Room

Overlook Dorm

Required

Number of adults: *

Number of children (age 6-18 by Oct 2020): *

Number of children (age 0-5 by October 2020): *

Requires single occupancy (applies to Cottage Room only):

Additional rate applies (refer to the Retreat Brochure)

(Optional) I would like to share a room with:

(Optional) Special needs or requests (e.g. pack-n-play). Please do not fill in dietary requirements here as a separate form will be send to you once your registration has been confirmed.

(Optional) If you would like to provide a gift to help others attend the retreat, please state the amount below. Thank you for your generosity.

FINANCIAL ASSISTANCE

Please fill in this section if you require financial assistance.

Please select the following that applies to you:

I need financial assistance to attend.

I need to set up a payment plan. (Go to the next question.)

If you need to set up a payment plan, please state how much you can pay and over what period of time (i.e. $__ over __ number of weeks).

TRANSPORTATION

Preferences for transportation will be processed in the order they arrive.

I would like to reserve seat(s) on the bus: *

Friday evening

Sunday bus

I will be organizing my own transport

Required

How many seat(s) do you need on the Friday bus? *

How many seat(s) do you need on the Sunday bus? *

If you will be organizing you own transport, please state if you have room for others in your car.

Thank you for your registration!

Send me a copy of my responses.

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