Crosspoint Women's Retreat Registration
Highland Lakes Camp and Conference Center, 5902 Pace Bend Road North, Spicewood, TX 78669
September 14-16, 2018
Name *
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Phone number *
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Permission to text *
Address *
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Email *
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T-Shirt Size *
Package 1: One-Night Stay, Friday, September 14. Includes retreat, lodging for Friday night, dinner on Friday, and breakfast & lunch on Saturday.
Rates indicate cost per person.
Package 2: Two-Night Stay, Friday & Saturday, September 14 & 15. Includes retreat, lodging for Friday & Saturday nights, dinner on Friday, breakfast, lunch & dinner on Saturday, and breakfast on Sunday*
*Breakfast will be earlier on Sunday, following sunrise prayer, to allow travel-time to Crosspoint for church and Dream Team Responsibilities. Rates indicate cost per person.
List (one or two) roommates ONLY if you have made DEFINITE arrangements.
We will place you in a room if you have no preference or arrangements for roommates.
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Emergency Contact Information *
Include contact's name, phone and relationship.
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I would like help arranging carpooling to and from the retreat.
I can provide transportation to and from the retreat. My car's capacity, including me is:
Your answer
Other carpool considerations or requests
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Special Requests
Other special needs or requests (allergies, etc)
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Statement of understanding *
I understand that there are inherent risks involved in any ministry or athletic event, and I hereby release Crosspoint, its pastors, employees, agents, and volunteer workers from any and all liability for any injury, loss, or damage to person or property that may occur during the course of my involvement. In the event that I am injured and require the attention of a doctor, I consent to any reasonable medical treatment as deemed necessary by a licensed physician. In the event treatment is required from a physician and/or hospital personnel designated by Crosspoint, I agree to hold such person free and harmless of any claims, demands, or suits for damages arising from the giving of such consent. I also acknowledge that I will be ultimately responsible for the cost of any medical care should the cost of that medical care not be reimbursed by the health insurance provider.
Link to print HLCCC Adult Medical/Liability Release Form *
The COMPLETED Medical/Liability Release form is a REQUIRED document authorizing entrance to HLCCC property and participation in camp activities. Copy and paste the following link to access and print the form
A deposit of half your registration fee is required to register. *
Deadline for full payment is September 2nd. Make checks payable to Crosspoint Fellowship Church in an Event Envelope or at
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