2017 East Coast Fall Retreat Registration
DATE
November 3-5, 2017

REGISTRATION DEADLINE
Sunday October 15

LOCATION
Camp Jewell
6 Prock Hill Rd, Colebrook, CT 06021
http://campjewell.org/our-story/facilities/

SCHEDULE
Arrival: Plan to arrive on site Friday night, November 3
First session: Begins 9am Saturday, November 4
Last session: Ends approximately 2pm Sunday, November 5

COST
$110 per adult
$55 for all students (youth, college, grad students)
$55 per child age 3 and older (camp charges full price for age 3+)
Free for children age 2 and younger
Free for all first-timers to retreat

First Name *
Your answer
Last Name *
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Email *
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Address Street (required for YMCA background check) *
Your answer
Address City *
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Address State *
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Address ZIP *
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Date of Birth (required for YMCA background check) *
MM
/
DD
/
YYYY
Choose all that apply: *
First-timer = first time to an overnight retreat with our church
Required
Gender *
To help us figure out rooming
Church / Department *
If Antioch-College or Antioch-ISM, indicate campus:
If you will be bringing children, please indicate their names and ages below. Please register children with the parent with whom they will be rooming. Lodging at Camp Jewell are dormitory style bunks, not private rooms.
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