CCAC All Church Retreat Registration
Date: May 25 - 28, 2018
Location: Oak Glen Christian Conference Center (http://www.oakglen.org)
Contact: Bruce Mao (brucedotmao@gmail.com)
Registration Cost
ADULTS
Oak Lodging - $115
Pine Housing / Cedar Lodge - $165
1-2 Bedroom Homes / Cottages - $215

KIDS 11 AND UNDER
Oak Lodging - $85
Pine Housing / Cedar Lodge - $115
1-2 Bedroom Homes / Cottages - $165

Please complete this form for each member of your family attending
First Name *
Your answer
Last Name *
Your answer
Parent/Guardian First Name
If applicable
Your answer
Parent/Guardian Last Name
If applicable
Your answer
Email
Your answer
Parent/Guardian Email
If applicable
Your answer
Phone Number *
Your answer
Parent/Guardian Phone Number
If applicable
Your answer
Emergency Contact
Name, phone number, relationship
Your answer
Age Range *
Any allergies or medical considerations that we should be aware of?
Your answer
Lodging
Lodging Preference
Lodging will be assigned on a first come first served basis, with priority given to seniors and families with young children. Middle school age and below must stay with parent(s) or guardian(s). Housing options can be reviewed here: http://www.oakglen.org/camp/lodging/
1st Choice
2nd Choice
3rd Choice
Oak Lodging
Youth Lodge (with supervision)
Pine Housing / Cedar Lodge
1-2 Bedroom Home / Cottage
Is there someone you'd like to share accommodations with? If not, please type "No Preference"
Your answer
Payment
ADULTS
Oak Lodging - $115
Pine Housing / Cedar Lodge - $165
1-2 Bedroom Homes / Cottages - $215

KIDS 11 AND UNDER
Oak Lodging - $85
Pine Housing / Cedar Lodge - $115
1-2 Bedroom Homes / Cottages - $165

Check #
Please make checks out to CCAC with "Retreat 2018" on the memo line
Your answer
Have you paid yet? *
Scholarships are available for those who need assistance with registration fees. If you are interested in a scholarship, please indicate what portion you can cover and the reason for your need below:
Your answer
Out of the seminars listed below, which two are you the most interested in?
Please just choose two from the list below
Serving Opportunity
I am interested in leading a small group *
Required
Questions or Comments
Is there anything we should know about? Do you have a question about something? Feel free to ask below!
Your answer
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