Overnight Service Trip
Friday, April 12 (arrive at hotel by 7:00 p.m.) to Saturday, April 13 (departing for home by 4:00 p.m.)
Name(s) of Adult Participants
Date of Birth of Adult Participants
Name(s) of Child/Youth Participants
Date of Birth & Grades of Child/Youth Participants
Hotel Accommodations, please choose:
$145 per person (single room) $90 per person (based on double occupancy) $70 per person (based on triple occupancy) $60 per person (based on quadruple occupancy) Saturday Only Rate - $35
Saturday Only (no hotel accommodations needed)
I would like a room by myself.
My family of up to 4 people to be in one hotel room.
I am open to a roommate, please assign me someone if available. (Or request a roommate in Other Box below)
Please list for each participant: Special Accommodations / Dietary needs / Allergies / Medications
An Emergency Contact's Name & Phone
Health Insurance Carrier
What special skills do you or your family bring to this trip?
We can bring tools.
Very flexible, you tell us what to do, we go
We love board games.
Good at getting the group energized and excited
Inquisitive and ask deep questions
Good at caring for the group, making sure all feel well, stay hydrated, and are enjoying themselves
Enjoy making new friends
Can help with organization
I love working with children.
I would babysit for the youngest participants.
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