2022 Reunion Registration Form

Inland West 2022 Reunion Registration
How many people are you registering: *
Registrant's Information
Name *

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number

Area Code Phone Number
Cell Phone

Area Code Phone Number
Email
Dietary Needs
Health & Allergy Concerns
Congregation
Priesthood Office
Are you a Registered Child and Youth Worker?

Yes
Medical insurance provider
Insurance Number
Emergency Contact Information
Emergency Contact's Name

First Name Last Name
Phone Number

Area Code Phone Number
I have no additional people to register

Registering Additional Members of Your Family

1. Please enter their name and pertinent information.

2. When registering a child 17 years or younger, please enter age at Reunion as well as their grade level in the coming school year.

3. Please check the "Sponsored Child" box if the child you are registering is not your immediate family member, but your are taking responsibilty for the child at this reunion. Please complete the Designation of Responsible Adult form for each child you are sponsoring. A pdf is available on last page of registration.
Name

First Name Last Name
Age
Sponsored Child?
Dietary Needs
Health & Allergy Concerns
Are you a Registered Child and Youth Worker?

Yes
Name

First Name Last Name
Age
Sponsored Child?
Dietary Needs
Health & Allergy Concerns
Name

First Name Last Name
Age
Sponsored Child?
Dietary Needs
Health & Allergy Concerns
I have no additional people to register

Name

First Name Last Name
Age
Sponsored Child?
Dietary Needs
Health & Allergy Concerns
Name

First Name Last Name
Age
Sponsored Child?
Dietary Needs
Health & Allergy Concerns
Name

First Name Last Name
Age
Sponsored Child?
Dietary Needs
Health & Allergy Concerns
Name

First Name Last Name
Age
Sponsored Child?
Dietary Needs
Health & Allergy Concerns

Which Reunion are you registering for:

Samish Island Camp Red Cliffe

SAMISH ISLAND REUNION
Saturday, July 2 at 4:00 p.m. to Thursday, July 7 at 10:00 a.m.

The cost of reunion will be covered by free will offerings and contributions. Below are the total estimated expenses including supplies, cook, guest ministry and fees to the Samish Campground.

Fee is for each person per night – meals included:

E cabin (12 yrs & up) *   $55.80 ($279.00 for whole camp)

Rustic cabin & RV space (12 yrs & up)* $51.80   ($259.00 for whole camp)

Daily Additional Adult (12 yrs & up) $43.80   ($219.00 for whole camp)

Daily Youth (6-11 yrs) $37.80 ($189.00 for whole camp)

Daily Child (5 & Under) $10.80 ($54.00 for whole camp)

*Housing rates for first two adults (age 12 & up), additional occupants charged daily rates based on their age.

Drop-In Attendee (includes one meal, no overnight stay)

Ages 12 & Up-$ 9 Youth (6-11)-$5

Child (5 & under)-Free

________________________________________

Make Checks Payable to: Community of Christ

If you have any questions or concerns please contact

Sandy Decker at sdecker@cofchrist-iwest.org or 509-863-7532.
Housing Needs:
Preference on cabin location (e cabin, near bathroom, playground, etc.):
E-cabin order of priority: 1) Medical need 2) Senior citizen with need 3) families with children under 5. Reason for requesting an e cabin:
I/We will be attending the entire reunion
We will attend on these days:
Comments
Done with Samish information

CAMP RED CLIFFE REUNION
Friday, July 9 at 3:00 p.m. to Thursday, July 14 at noon.

Fees:

A $50.00 deposit must be paid before housing is assigned.

Adults (16 and older): $125

Kids 5-15: $60

Kids under 5: free

Family Rate (2 adults and kids 21 and under): $400

Daily rate

Breakfast: $5

Lunch: $10

Dinner: $10

________________________________________

Make Checks Payable to: Community of Christ

If you have any questions or concerns please contact:

Carla Long at clong@cofchrist.org.
Housing
Cabin preference
Cabin needed for how many people:
Do you have a roommate preference? If so, who?
Tent RV
I/We will be attending the entire reunion
I/We will be attending this many days:
We will attend on these days:
Comments
Done with Camp Red Cliffe information

Print, complete and sign Camper Registration Agreement
Print, complete and sign Designation of Responsible Adult form if sponsoring a child.
Checklist for Reunion

Complete Registration Form Copy of Insurance Card Copy of Camper Registration Agreement signed Copy of Medical History filled out (with Camper Registration Form) Copy of Designation of Responsible Adult (for minors coming without a parent)
Should be Empty: