2022 Pinecrest Family Retreat
Oct 28-30, 2022 at Pinecrest Camp
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone
*
(123)-456-7890
Email
*
example@example.com
Is this your first year attending the retreat?
*
Yes
No
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Desired Room Category
Please list your first choice of room. Prices are per person. For more information, please visit the event details page at efree.org/events
First Choice
*
Please Select
Dorm ($126/adult, $63/child 4-11)
Motel ($126/adult, $63/child 4-11)
Cabin ($126/adult, $63/child 4-11)
RV Site ($30/site;meals $47.50/adult, $23.75/child 4-11)
Second Choice
*
Please Select
Dorm ($126/adult, $63/child 4-11)
Motel ($126/adult, $63/child 4-11)
Cabin ($126/adult, $63/child 4-11)
RV Site ($30/site;meals $47.50/adult, $23.75/child 4-11)
Special Instructions
The total cost of the retreat is based upon the number of people registering and the housing option you select, with a maximum out-of-pocket expense of $378 per family. A deposit of $30 per person age 4 and above (up to a maximum deposit of $150) will be charged at the time of registration. You will be invoiced for your remaining balance, which must be paid by 10/1. If you would like information about scholarship assistance, please contact Kelly Thomas at familyretreat@efree.org.
How many family members age 4 and above are you registering today?
*
Please Select
1
2
3
4
5+
You will be charged a deposit of $30 per person age 4 and above, up to a maximum of $150. This is due at the time of registration to secure your reservation.
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Adults and Children 14+
Number of adults and children age 14+
*
Please Select
0
1
2
3
4
5
6
7
8
9
10
Name
First Name
Last Name
Classroom
Please Select
Adult
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
Name
First Name
Last Name
Classroom
Please Select
Adult
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
Name
First Name
Last Name
Classroom
Please Select
Adult
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
Name
First Name
Last Name
Classroom
Please Select
Adult
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
Name
First Name
Last Name
Classroom
Please Select
Adult
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
Name
First Name
Last Name
Classroom
Please Select
Adult
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
Name
First Name
Last Name
Classroom
Please Select
Adult
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
Name
First Name
Last Name
Classroom
Please Select
Adult
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
Name
First Name
Last Name
Classroom
Please Select
Adult
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
Name
First Name
Last Name
Classroom
Please Select
Adult
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
Children Ages 4-13
Number of children ages 4-13
*
Please Select
0
1
2
3
4
5
6
7
8
9
10
Name
First Name
Last Name
Classroom
Please Select
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
Name
First Name
Last Name
Classroom
Please Select
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
Name
First Name
Last Name
Classroom
Please Select
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
Name
First Name
Last Name
Classroom
Please Select
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
Name
First Name
Last Name
Classroom
Please Select
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
Name
First Name
Last Name
Classroom
Please Select
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
Name
First Name
Last Name
Classroom
Please Select
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
Name
First Name
Last Name
Classroom
Please Select
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
Name
First Name
Last Name
Classroom
Please Select
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
Name
First Name
Last Name
Classroom
Please Select
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
Children 3 and Under
Number of children 3 and under
*
Please Select
0
1
2
3
4
5
6
7
8
9
10
Name
First Name
Last Name
Classroom
Please Select
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
Name
First Name
Last Name
Classroom
Please Select
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
Name
First Name
Last Name
Classroom
Please Select
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
Name
First Name
Last Name
Classroom
Please Select
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
Name
First Name
Last Name
Classroom
Please Select
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
Name
First Name
Last Name
Classroom
Please Select
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
Name
First Name
Last Name
Classroom
Please Select
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
Name
First Name
Last Name
Classroom
Please Select
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
Name
First Name
Last Name
Classroom
Please Select
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
Name
First Name
Last Name
Classroom
Please Select
Nursery (0-2)
Preschool
K-1
2-3
4-5
6-8
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Volunteer Sign Up
We ask that at least two family members sign up for a volunteer role. Teens are welcome to serve as well, and more than two family members can serve. For more information on volunteer positions, please see efree.org/events.
Volunteer #1
*
First Name
Last Name
Email
*
example@example.com
Preferred Slot #1
*
Please Select
Nursery
Preschool
K-1
2-3
Campfire Help/Snacks
Teen Events
Free Time Roles: Archery, Open Gym, Ropes Course, Paddle Boats, etc.
Family Olympics
Ladies Night
Mens Night
Welcome Committee
Photographer/Video
Load UHaul (Wednesday)
Tear Down (Sunday)
Unload UHaul (Sunday)
Preferred Slot #2
*
Please Select
Nursery
Preschool
K-1
2-3
Campfire Help/Snacks
Teen Events
Free Time Roles: Archery, Open Gym, Ropes Course, Paddle Boats, etc.
Family Olympics
Ladies Night
Mens Night
Welcome Committee
Photographer/Video
Load UHaul (Wednesday)
Tear Down (Sunday)
Unload UHaul (Sunday)
Preferred Slot #3
*
Please Select
Nursery
Preschool
K-1
2-3
Campfire Help/Snacks
Teen Events
Free Time Roles: Archery, Open Gym, Ropes Course, Paddle Boats, etc.
Family Olympics
Ladies Night
Mens Night
Welcome Committee
Photographer/Video
Load UHaul (Wednesday)
Tear Down (Sunday)
Unload UHaul (Sunday)
Volunteer #2
First Name
Last Name
Email
example@example.com
Preferred Slot #1
Please Select
Nursery
Preschool
K-1
2-3
Campfire Help/Snacks
Teen Events
Free Time Roles: Archery, Open Gym, Ropes Course, Paddle Boats, etc.
Family Olympics
Ladies Night
Mens Night
Welcome Committee
Photographer/Video
Load UHaul (Wednesday)
Tear Down (Sunday)
Unload UHaul (Sunday)
Preferred Slot #2
Please Select
Nursery
Preschool
K-1
2-3
Campfire Help/Snacks
Teen Events
Free Time Roles: Archery, Open Gym, Ropes Course, Paddle Boats, etc.
Family Olympics
Ladies Night
Mens Night
Welcome Committee
Photographer/Video
Load UHaul (Wednesday)
Tear Down (Sunday)
Unload UHaul (Sunday)
Preferred Slot #3
Please Select
Nursery
Preschool
K-1
2-3
Campfire Help/Snacks
Teen Events
Free Time Roles: Archery, Open Gym, Ropes Course, Paddle Boats, etc.
Family Olympics
Ladies Night
Mens Night
Welcome Committee
Photographer/Video
Load UHaul (Wednesday)
Tear Down (Sunday)
Unload UHaul (Sunday)
Volunteer #3
First Name
Last Name
Email
example@example.com
Preferred Slot #1
Please Select
Nursery
Preschool
K-1
2-3
Campfire Help/Snacks
Teen Events
Free Time Roles: Archery, Open Gym, Ropes Course, Paddle Boats, etc.
Family Olympics
Ladies Night
Mens Night
Welcome Committee
Photographer/Video
Load UHaul (Wednesday)
Tear Down (Sunday)
Unload UHaul (Sunday)
Preferred Slot #2
Please Select
Nursery
Preschool
K-1
2-3
Campfire Help/Snacks
Teen Events
Free Time Roles: Archery, Open Gym, Ropes Course, Paddle Boats, etc.
Family Olympics
Ladies Night
Mens Night
Welcome Committee
Photographer/Video
Load UHaul (Wednesday)
Tear Down (Sunday)
Unload UHaul (Sunday)
Preferred Slot #3
Please Select
Nursery
Preschool
K-1
2-3
Campfire Help/Snacks
Teen Events
Free Time Roles: Archery, Open Gym, Ropes Course, Paddle Boats, etc.
Family Olympics
Ladies Night
Mens Night
Welcome Committee
Photographer/Video
Load UHaul (Wednesday)
Tear Down (Sunday)
Unload UHaul (Sunday)
Volunteer #4
First Name
Last Name
Email
example@example.com
Preferred Slot #1
Please Select
Nursery
Preschool
K-1
2-3
Campfire Help/Snacks
Teen Events
Free Time Roles: Archery, Open Gym, Ropes Course, Paddle Boats, etc.
Family Olympics
Ladies Night
Mens Night
Welcome Committee
Photographer/Video
Load UHaul (Wednesday)
Tear Down (Sunday)
Unload UHaul (Sunday)
Preferred Slot #2
Please Select
Nursery
Preschool
K-1
2-3
Campfire Help/Snacks
Teen Events
Free Time Roles: Archery, Open Gym, Ropes Course, Paddle Boats, etc.
Family Olympics
Ladies Night
Mens Night
Welcome Committee
Photographer/Video
Load UHaul (Wednesday)
Tear Down (Sunday)
Unload UHaul (Sunday)
Preferred Slot #3
Please Select
Nursery
Preschool
K-1
2-3
Campfire Help/Snacks
Teen Events
Free Time Roles: Archery, Open Gym, Ropes Course, Paddle Boats, etc.
Family Olympics
Ladies Night
Mens Night
Welcome Committee
Photographer/Video
Load UHaul (Wednesday)
Tear Down (Sunday)
Unload UHaul (Sunday)
Special Instructions
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After pressing "submit" you will be taken to PayPal to complete your payment.
Optional Pinecrest Scholarship Donations
If you would like to make an optional donation to our scholarship fund to assist other families in the retreat, please enter the amount above.
Total
Payment
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( X )
USD
Pinecrest Family Retreat: You will be charged a deposit of $30 per person age 4 and above, up to a maximum of $150. This is due at the time of registration to secure your reservation.
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