UCC Winter Retreat Signup WAIT LIST
We hope you'll be able to join us at Forest Home, we will notify you as you get off the wait list!

Units are 2-bedroom suites with a shared bathroom and living area.

Students/Singles will be placed with students/singles (please note roommate preference in "Special Comments")

Youth Group Members will be housed together with chaperones.

Payment Breakdown:
Adults: $100
Youth (9-17 yo): $75
Child (3-8 yo): $50
College Student: $25

Forest Home can accommodate most dietary restrictions, however they do not have the ability to provide food for those diagnosed with celiac disease. They provide refrigerator space for those with celiac to store meals they bring themselves.

Registration is not complete until medical waivers have been submitted to the UCC Office. Forms can be found here: https://drive.google.com/open?id=1KYnyLYB8jFFK9XNU7YhYZ24fUE_yKGC9
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First Name
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Last Name
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Phone Number
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Are you a Pepperdine student?
Number of people in your party
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Names of Adults (18+ yo.)
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Names of Youth (9-17 yo.)
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Names of Children (3-8 yo.)
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What is your primary point of contact with UCC?
Emergency Contact Name and Phone Number
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Special comments:
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If notified as off-waitlist, I will submit payment to UCC via:
I will download the medical waiver and bring it to the UCC office by January 22, 2020
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