Do you have any food, material, animal or medication allergies? *
Your answer
In case of an emergency, please provide the name, phone number, and relationship of an individual we can contact. *
Your answer
There is a $140.00 NON-REFUNDABLE fee per person for the camping retreat. Please submit your payment with submission of this form by using the following payment accounts. Title your transaction with "YOUR NAME followed by 'camping retreat fee' " when making the payment. (IMPORTANT: payments must be made with submission of this form). *