Congregational Retreat 2019
“Listening...to, for and with the Holy in our Lives”
St Andrew's-Wesley 3rd Annual Congregational Camp
June 21 to 23

Come and join us for a restorative weekend for all ages at Camp Fircom on Gambier Island. There will be opportunities to hike, canoe, sit and read, walk, sing, enjoy arts of various kinds, campfire (of course!) and simply time in the beauty of nature and the Camp Fircom surroundings. We will enjoy singing and worship, yummy meals and gentle gathered programs some for all ages and some for age specific (children and adults). There will be lots of space for you to choose the activity and program that calls to you.

Please use the following form to register yourself and/or your family for the camp.

The registration costs cover accommodation, meals, snacks, return trip water taxi to the camp on Gambier Island, as well as program expenses and supplies.

There is financial assistance but we need everyone to contribute something. Please speak with Jen.

$175 for Individuals
$400 for Family maximum (a family means people living at the same address)
$100 day pass NEW this year! (includes bus, boat, lunch, supper and program, A bus will depart the church at 8:30am and return you around 9pm.)
Children under 2 are no charge.

Buses will be leaving the church Friday afternoon so that we can begin with supper at camp at 6pm. We will be able to confirm times of the buses once we have an idea about numbers.

We have a variety of types of accommodation - Tee Pee's, Cabins and lodges. We will do our best to accommodate needs, we cannot promise folks certain accommodations. Priority is given to those with mobility issues and young children.

A simple overview of the schedule and choices for programs will be emailed closer to the retreat.

REGISTRATION DEADLINE IS JUNE 6th.

For more information please contact Jen Cunnings j.cunnings@standrewswesley.com

Unfamiliar with Camp Fircom? www.fircom.ca

Email address *
General Information
There are additional sections to enter information for those travelling with you. Email j.cunnings@stanadrewswesley.com with any questions.
Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Email Address *
Your answer
Phone Number *
Your answer
Address
Your answer
Health Care Number *
Your answer
Dietary Restrictions
*
Intolerances of Food
Your answer
Health Information
Allergies
Please indicate severity and triggers (airborne, contact, or ingestion). In the case of severe allergy please provide a personal emergency management plan and history of previous reactions.
Your answer
Medication
Please list any medications and if assistance is needed.
Your answer
Please list any other medical concerns:
Please include history of any major injuries.
Your answer
Emergency Contact Information *
Please provide one person to contact as well as their phone numbers and their relationship to you.
Your answer
Accommodations
If registering for more than one person, can your party/family be split? If yes, please specify:
Your answer
Please specify any accommodation needs due to mobility limitations, health concerns, young children, sleep disorders, etc.
Your answer
Is there anything else you would like us to know when we are finalizing the sleeping arrangements?
Your answer
Are there any other people you would like to be roomed with?
Your answer
Other
Are you registering another family member? *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service