Friday -‐ Sunday, October 2

Eden Community Weekend Away Information -­‐ Friday -­‐ Sunday, October 2 – 4 Mail sdsdf Macleay Christian Retreat | 2887 74th Avenue SE, Salem, OR 97317 Macleay: 503-­‐391-­‐2806 | Nalani Smith: 503.277.3848 | Pastor Jason cell: 913.575.8386 Directions: From I-­‐5: Take exit 253 for OR22 / OR 99E Business toward Detroit Lake / Bend Go east on OR 22 toward Detroit Lake / Bend Take exit 5 for Joseph St SE Turn left onto Joseph St SE toward Macleay Turn left onto 71st Ave SE toward Macleay Turn right onto Gale St SE toward Macleay Turn left onto 74th Ave SE, Turn into the first gate on your left Basic Weekend/Meal Schedule: Friday evening: 4 pm – 7 pm Arrival/Check-­‐in/Snacks (Dinner on your own before you arrive) Saturday: 8:30 am Breakfast 12:00 pm Lunch 5:30 pm Dinner Sunday: 9:00 am Breakfast By 2:00 pm Checkout What to Bring: o
Bedding (sleeping bag, sheet/blanket, pillow) o
Soap, shampoo, towels o
Bible, journal, pen, books o
Sports balls/table games o
Layered clothing, sports/hiking shoes o
Bicycles o
Medications/prescriptions o
Snacks Sleeping Arrangements Evergreen Lodge: Arrangements are simple but clean with communal bathrooms and showers. Sleeping arrangements will contain a combination of separate male and female bunk-­‐style rooms. There are a limited amount of separate bedrooms that will be reserved for families with infants or small children. Participants will be assigned a room after registrations numbers are confirmed. Conduct: As guests at Macleay, we commit to adhere to all of their policies. The following are not permitted on the property: Drugs, alcohol, smoking, pets, firearms (including pellet, air soft, bb, paintball, etc.), and fireworks. Participants will be charged for any damages. Noise levels must be lowered and activities must be indoors after 10pm. Children: The retreat is family-­‐style, which means children are very welcome but are ultimately the responsibility of parents while at the Weekend Away. We will be working to ensure that there are some structured activities for kids during some of the retreat times while also trying to incorporate children during other times. Note that there will not be infant/toddler care during the weekend. If you bring small children, be sure to bring along toys/activities that are suited for their age. If you have an infant/toddler, plan to bring a pack and play. Questions: Call Nalani Smith at 503.277.3848 ([email protected]). 1. Event Information Event: Eden Community Weekend Away Dates: Friday -­‐ Sunday, Oct. 2 – 4, 2015 Location: Macleay Christian Retreat | 2887 74th Avenue SE, Salem, OR 97317 2. Individual/Family Registration (please print) Primary Registrant(s) Gender __________________________________ ______________________________ M or F First Last __________________________________ ______________________________ M or F First Last Children Age __________________________________ ______________________________ M or F ____ First Last __________________________________ ______________________________ M or F ____ First Last __________________________________ ______________________________ M or F ____ First Last __________________________________ ______________________________ M or F ____ First Last Email 1: ________________________________________________________ Email 2: ________________________________________________________ Address: ____________________________________________________________________________________ City: Mailing Address ____________________________________________________________________________________ _________________________________________ State: Zip:______ Home Phone: ________________________ Cell: ______________________ 3. Health State health code requires the retreat center to have a health record on file for all participants. (ORS 446.330) For a camper or staff member under 18 years of age, this section must be signed by a parent or guardian. This information will remain confidential. Please include a description of any physical or medical condition requiring special consideration and any prescriptions currently being taken, along with any allergies. Name:_______________ _____________________________________________________________________ Name:_______________ _____________________________________________________________________ Name:_______________ _____________________________________________________________________ Name:_______________ _____________________________________________________________________ Name:_______________ _____________________________________________________________________ Signature of parent or legal guardian (if applicable): ___________________________________________________ 4. Food Please list any food allergies or preferences for vegetarian meals: ______________________________________________________________________________________________ 5. Emergency Contact Name: _________________________ ___________________________ ____________________________ First Last Relationship Email: _________________________ Phone: _____________________ 6. Cost and Payment Cost includes accommodations for two nights and four meals (3 on Saturday and Sunday breakfast). Transportation is on your own. Carpooling is encouraged! Some scholarship is available. Please fill out the form carefully. Number of adults (age 14 and up) X $125 = $ Number of youth (ages 10-­‐13) X $105 = $ Number of children (ages 4-­‐9) X $65 = $ Number of infants/toddlers (ages 0-­‐3) X FREE FREE q I would like to donate toward a scholarship fund to assist others to attend $ q Please contact me about receiving financial assistance to attend Completed by office (application is confidential) Total Due $ Payment Method(s): Payment Options (Choose One). Note that if a registrant cancels, 50% of funds received will be refunded after Sept. 13. ! Cash ! Pay 100% ! Check #___________ ! Pay in installments ! Credit/Debit Card Payment 1 -­‐ due Aug. 30 Payment 2 -­‐ due Sept. 13 (50% refundable after this date if cancel) ! Online Payment 3 -­‐ due Sept. 27 (Final Payment Due) ! Other (weekly, bi-­‐weekly, etc. Contact director to work out a schedule) _______________________________ th Registrations due by Sunday, Sept. 20
“Late registrations may be subject to a late-­‐fee penalty per the rules of MacLeay Retreat Center” th
Full payment is due by Sunday, September 27
Office Use: ! Registration entered into database ! If applicable, scholarship has been applied Mail, fax, email, or deliver this form to the church office (attn: Eden Community) or give to Nalani Smith Eden Community 6100 SW Raab Rd Portland, OR 97229 Ph. 503.297.6100 Fax 503.297.1164 [email protected] \ Nalani Smith [email protected] 503.277.3848