2020 Spring Pacific Central Chapter -UUMA Gathering Registration --- Tuesday, April 21 - Thursday, April 23

It's time to plan for our 2020 Spring PC Chapter -UUMA Minister's Collegial Gathering. Registration for the gathering is now open. Early registration is encouraged! (Registration deadline is March 15th.)

Our Gathering begins Tuesday, April 21, at 2 p.m. and concludes on Thursday, April 23, with lunch. The location is Villa Maria del Mar, 21918 East Cliff Drive, Santa Cruz, CA 95062. This is our first time having a gathering at Villa Maria del Mar - we are excited to experience this beach adjacent beauty on the Monterey Bay. Please bring your fresh eyes to how we can use this new place to bring new attention to Hospitality and Accessibility for all in our chapter.

Please contact the Treasurer - treasurer.uuma.pcd@gmail.com if you are unsure if you have paid your UUMA Chapter dues.

The Registration Fees for the Retreat are:
$360 Single Room
$290 Double Room
$180 Commuter (2 days, 6 meals)
$ 90 Commuter (1 day, 3 meals)

(A $25 late fee is added for registrations after March 15th. Rooms are not guaranteed until confirmed by the Registrar.)

Scholarship Deadline: Sunday, March 15.
A limited number of scholarships of up to $100 per registrant are available. If you need a scholarship, fill out the section at the bottom of the registration from. Please do not pay your registration until you have received confirmation from the treasurer. You may contact her at treasurer.uuma.pcd@gmail.com

Payment Information is repeated after you submit this form.
Make checks payable to PCD UUMA and mail to:
Rev. Alyson Jacks
1187 Franklin Street
Sann Francisco, CA 94109

You can also pay via PayPal at http://www.pcduuma.com/retreats.html after you fill out this form.

Please be sure to submit your registration information, by clicking on the blue "SUBMIT" button at the bottom of this page, before making your payment.

You will receive a confirmation email if your registration submission was successful.

All the best,

Axel Gehrmann
Fall Retreat Registrar

Email address *
First Name *
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Last Name *
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Phone where you can be most easily reached *
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Institutional Affiliation *
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Please share your pronouns (e.g. she/her/hers, he/him, his, they/them/theirs/ or something else.) *
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New or Returning Ministers, let us know a bit about you (check all that apply).
Chapter Dues 2019-20
Registration Fee
Arrival & Departure (optional)
If you are attending only a portion of the gathering, please indicate your arrival and departure times. (This allows us to provide an accurate meal count.)
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Roommate Request (if applicable)
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Scholarships Fund Contribution (optional)
If you would like to make a contribution for our Scholarship Fund, please enter the amount below, and add to your check.
Staff Gratuity (optional)
Registration includes a 5% contribution to staff gratuity. If you would like to make an additional contribution, please enter the amount below, and add to your check.
GRAND TOTAL (Payment must include registration and chapter dues. If you've made a scholarship donation or additional gratuity, please add this to your total.) *
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Dietary Information *
Specific food allergies and sensitivities?
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Accessibility needs?
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Our chapter welcomes infants who are not yet walking. Please check the box below if you have a baby you plan to bring.
Scholarship Request
A limited number of scholarships are available (up to $100.00) and are awarded on a first-come, first-served basis. Additional amounts may be available in extraordinary circumstances. Contact the treasurer with requests. The scholarship deadline is March 15th. Please check the reason that best describes your request. For those needing a scholarship: If paying by the PayPal/credit card option on our Chapter website, please pay the full amount and the Treasurer will send you a check for the scholarship. If paying by check or bank transfer, please reduce your total amount by the scholarship requested, not to exceed $100. If there are any concerns the Treasurer will contact you.
Scholarship Amount
Please indicate the amount of your request (not to exceed $100.00)
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Long Distance Travel Assistance (requests are reviewed by treasurer)
This includes flight travel, bus, train or car rental (assuming there is no one you can share a ride with to the retreat)
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Please enter in the box below or, for urgent needs relating to registration only, please email rev.axel@uucmp.org
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Payment Instructions

Make checks payable to PCD UUMA and mail to:
Rev. Alyson Jacks
1187 Franklin Street
Sann Francisco, CA 94109

To pay via PayPal, please visit http://www.pcduuma.com/gatherings.html

Late registration deadline is March 15th. If accommodated, late registrations will require an additional $25 fee.

Please note:  After the registration deadline no refunds will be available unless there are people on the waiting list. 

For those needing a scholarship: Please read the information under Scholarship Requests.
For use by registrar only
Date payment received
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Payment Updates
A copy of your responses will be emailed to the address you provided.
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