Mason InterVarsity Fall Retreat Registration September 28-30, 2018
Fall Chapter Retreat is a chance to get away from campus and bond with your new small group & the rest of the IV chapter over one awesome weekend!

When: September 28-30, 2018
Where: Highland Retreat Center in Bergton, VA (approx. 2 hours from Fairfax)
Cost: $50 per person (includes meals & stay for the weekend!) if registered by 11:59pm, FRI 9/14.
If registering between 9/15-9/28 cost is $60.
$30 non-refundable deposit required to hold registration at time of submitting this form.
**Please pay by Venmo (@Mason-InterVarsity).

Register now for Fall Retreat!
Name (first and last) *
Your answer
Gender *
Your answer
Year in school *
Your answer
Phone Number *
Your answer
Email *
Your answer
Your Small Group Leaders' Names *
Your answer
Food Allergies
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Statement of Release
In consideration for being accepted and allowed to participate in this retreat and activities associated with its programs and location, I personally assume responsibility for my actions, and release InterVarsity Christian Fellowship/USA (hereafter IVCF), its trustees, employees, and agents from loss, injury or damage to myself or my property: provided that nothing herein shall excuse IVCF from responsibility to act with reasonable care for the safety of myself or my property. Should any dispute or controversy arise, I agree to seek resolution according to Biblical principles through the Christian Coalition Service or other appropriate ministry of reconciliation. I certify that I have signed this release voluntarily.
If you agree with the release above, please electronically sign with your name & zip code. *
Your answer
In order to submit your registration, please venmo @Mason-InterVarsity your non-refundable deposit ($30) or full payment ($50 if by 9/14 or $60 if AFTER 9/14). *
Ask your small group leader or email
We can't wait to see you at Fall Retreat!
Be sure to read the packing list & info about carpooling with your small group on the Fall Retreat brochure!
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