Annual CSG Retreat ~ YMCA of the Rockies Estes Park ~ September 12th – 13th 2020
Get More Info And Register At:
Annual CSG Retreat
YMCA of the Rockies
September 12th – 13th, 2020
Friday: Optional Overnight – book with the YMCA
After filling out form, please send payment:
Zelle or Paypal can be used for payment:
Zelle payment contact:
Paypal payment site:
Mail check or money order payable to:
CSG, PO Box 133, Littleton, CO 80160
Scholarships: A limited amount of financial assistance is available for double occupancy rooms. Please send your request to
no later than 8/16/2020. Priority will be given to those willing do service work.
Please fill out the following info to register for the event.
Emergency Contact Name & Phone #
Prefer not to say
My "Home" 12-Step Group: Fellowship / City / Day / Time
Registration Type & Commitment to Fees
each individual needs to register
Day-Only Registration $25.00/ person (Bring or buy your own lunch/dinner) (covers both days)
One Night Registration - Single Occupancy (1 person in room) $180 pp - including Saturday lunch & dinner & Sunday breakfast
One Night Registration - Double Occupancy (2 ppl in room) $120 pp - including Saturday lunch & dinner & Sunday breakfast
One Night Registration - Triple Occupancy (3 ppl in room) $100 pp - including Saturday lunch & dinner & Sunday breakfast
Scholarship approved (deduction) - check this in addition to an option above and provide amount in next question
Scholarship amount approved (deduction)
Scholarship Fund Contribution - thank you for your generous donations that help others to attend the retreat!
Total payment that will be sent (calculate fee+donation-scholarship): After filling out form, please send payment (instructions at top of page):
(Optional) I'd like to room with:
I am willing to lead a 45-minute recovery breakout group
I am willing to be a speaker
I am willing to lead a meeting and will bring a topic/ literature reading
I am willing to lead an arts or expressive arts activity
I am willing to lead a meditation
I am willing to help with setup
I am willing to help with cleanup
I am willing to go shopping for groceries in advance of the event (reimbursable)
Additional thoughts on my volunteer sign up:
Thank you so much! We look forward to seeing you at the retreat!
Please contact the YMCA if you have additional questions about accessibility/ food/ and booking Friday night stays.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service