WCRC Retreat and Event Registration
           
* indicates required field
*Name:
*Street Address:
*City: *State: *Zip:
*Home (or primary) Phone: ()
Work Phone: ()
Cell Phone: ()
*Email:
*Church:
Roommate Request:
 
*Select the Retreat or Event you plan to attend
Men's Retreat March 23-25, 2012
Cabin Price $120 ($100 if received by 1/31/12)
Single occupancy
(limited availability)
$190 ($170 if received by 1/31/12)
 
Spring Quilting Retreat March 7-11, 2012
Wednesday-Thursday $75  
Thursday-Friday $75  
Weekend Price
Triple Occupancy $145 ($125 if received by 2/1/2012)
Double Occupancy $165 ($145 if received by 2/1/2012)
Single Occupancy $185 ($165 if received by 2/1/2012)
 
Tour Retreat: April 23-26, 2012
Double Occupancy (per person) $398
Single Occupancy $498
 
Kaleidoscope Camp June 24-August 2
  (click here to register for children.)
 
Music Weekend October 26-28
  Check back soon for prices!
 
Fall Quilting Retreat November 7-11, 2012
Wednesday-Thursday $75  
Thursday-Friday $75  
Weekend Price
Triple Occupancy $145 ($125 if received by 9/1/12)
Double Occupancy $165 ($145 if received by 9/1/12)
Single Occupancy $185 ($165 if received by 9/1/12)
 
 
Winter Youth Retreat December 28-30
  Registration Fee
(click here to register for children.)
$125 ($105 if received by 11/1/11)
 
Deposits for all Retreats and Camp $50 non-refundable
 
Before pressing submit, to prevent spam please enter the code from the image above exactly as it appears.
 

Please read the following statement and if you are in agreement with it, please type your name in the box as your electronic signature.

Release & Indemnification
I recognize that activities available at WCRC have an inherent risk of injury and I am participating in them willingly. I hereby covenant with WCRC that we will never institute any action at law or in equity for any personal injuries to property, real or personal, caused by, or arising out of these activities. I further agree to indemnify and hold WCRC harmless against any and all cost, damages and expenses, which may be incurred by them as a result of any lawsuit we might file against them. I also give permission for the use of video and/or photographs to be used in camp publicity.
*Electronic Signature:
 

To complete registration you may pay the $50 non refundable deposit or you may specify another amount.

Check the box if you wish to only pay the deposit or type in the amount.
Pay Deposit:
Designate Amount: *Minimum of $50.00

Payments (check and credit cards including VISA, Master Card, Discover & American Express) are accepted on the secure PayPal site, even if you do not have a PayPal account. Click Submit below to confirm your information and be redirected to the PayPal site for payment.

 

2012
Men's Retreat March 23-25
Spring Quilting Retreat March 7-11
Kaleidoscope Camp June 24 - July 26
Music Weekend October 26-28
Fall Quilting Retreat November 7-11, November 14-18
Winter Youth Retreat (to be determined)