Registration for ICF GET-AWAY RETREAT at Blue Diamond Lodge
COME & JOIN US for a great weekend at the Blue Diamond Lodge in Rothrock State Forest (35 minutes from PSU).

HOSTED: by International Christian Fellowship (ICF)
WHEN: Oct. 7-8, Sat.-Sunday
Depart - Sat. 9 am, Oct. 7
Return - by Sunday 3 pm (or before), Oct. 8
WHO: All International PSU students, scholars, spouses are welcome.

TOPIC: Running from God - the true story of Jonah
ACTIVITIES: Canoe on a Lake, Bonfire, Group Games, Free time, Volleyball, Ping-pong, Baseball, indoor table games, etc.
FACILITIES: Nice lodge, beautiful woods, lake, heated showers, nice bedrooms and facilities

COST: Only $30 (includes 4 meals, 1 night stay, transportation, speakers, etc. Vegetarian food will be available.)
RIDES are provided going and coming home again.

REGISTRATION: Requires (#1) this online form & (#2) pay $30. Then you are complete.
PAYMENT: Submit to Walt via VENMO to "Walter-Johnston" -or- in person to Walt, Sue, Bill Saxton or Chris Cunningham by check or cash.

ANY QUESTIONS? contact Walt Johnston cell: (814) 404-8116, email: walt1636@gmail.com

ENGLISH is the language of the teaching times and the event.
NO CHILDREN under age 12
Bonfire
Group Games
New Friends & Relaxing!
Your first name (the one you use at PSU - in English) *
(Every person must register individually)
Your answer
Last name (family name - in English) *
Your answer
Address (Ex. 10 Vairo Blvd, apt. 44) *
Your answer
Email *
Your answer
Gender *
Home country *
Your answer
Cell phone number (not a Google phone number, not an international number) *
Your answer
Your age *
Your answer
Your status at PSU (sorry, no children) *
PSU ID # (this is required by PSU -- if you do not have a PSU ID, just say "NA") *
Your answer
Food (no pork will be served at any meals) *
Ride / Transportation *
Any COMMENTS or QUESTIONS?
Your answer
LEGAL WAIVER AGREEMENT -- Please read -- In consideration for being allowed to participate in this activity, I personally assume full responsibility for my actions (and of my accompanying family members), and release the staff and agents of International Ministries at Penn State (IMPSU), International Christian Fellowship Ministries (ICF), Coalition for Christian Outreach and associated organizations from responsibility for any loss, injury, or damage to myself, my family or my property, provided such persons shall act with reasonable care for the safety of me and my property. Should any dispute or controversy arise, I agree to seek resolution according to Biblical principles through Christian Conciliation Services. *
AFTER you Submit this Registration form, PAY the $30. Registration Fee to Walt, Sue, Chris, Bill Saxton ----- NOTES: (1) The Registration Fee is not refundable if you cancel your registration. (2) Your Registration is not complete until you pay. (3) Pay by Venmo (to "Walter-Johnston") or cash or check (check payable to "Walt Johnston"). (4) After you paid, please email Walt & confirm. (5) Walt's contact info: Walt1636@gmail.com, phone 814-404-8116 *
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