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 address *
PERSONAL DETAILS
Please include names of all your family members who will be attending.
Name(s) *
Your answer
Phone number(s) *
Your answer
Email address - others (e.g. spouse)
Your answer
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: *
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):
(Optional) I would like to share a room with:
Your answer
(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.
Your answer
(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.
Your answer
FINANCIAL ASSISTANCE
Please fill in this section if you require financial assistance.
Please select the following that applies to you:
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).
Your answer
TRANSPORTATION
Preferences for transportation will be processed in the order they arrive.
I would like to reserve seat(s) on the bus: *
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!
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Christ Church New York City. Report Abuse