2018 East Coast Fall Retreat Registration
DATE
November 2-4, 2018

REGISTRATION DEADLINE
Sunday October 21

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 2
First session: Begins 9am Saturday, November 3
Last session: Ends approximately 4pm Sunday, November 4

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 *
Your answer
Email *
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Address Street (required for YMCA background check) *
Your answer
Address City *
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Address State *
Your answer
Address ZIP *
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Date of Birth (required for YMCA background check) *
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Choose all that apply: *
Required
Gender *
To help us figure out rooming
Church / Department *
If Antioch-College or Antioch-ISM, indicate campus:
If you have any food allergies or restrictions, please describe below:
Your answer
Any comments or questions?
Your answer
If you are bringing children younger than youth-aged, please fill out an additional registration form here: http://bit.ly/2018ECFRchild
Don't forget to hit "SUBMIT" to finalize this registration!
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