JCC Retreat 2023 Registration

This section is for invoicing purposes. Payment methods to be confirmed via email, ie. no payment will be collected through this form. Final full payment to be made by 21st May 2023.

Physical or digital retreat form will be received and processed by Retreat Committee. A copy of this form will be emailed to you.

Travel Insurance at $47 per pax. How many pax will require insurance?

Optional, leave blank if not applicable.

INDEMNITY: I/We understand that the Church Retreat Committee will do all that is necessary and within their abilities to ensure the safety and comfort of retreat participants. I/We hereby agree to indemnify the Church and the Retreat Committee from any responsibilities and claims whatsoever related to this retreat program and activities.*

I agree

PERSONAL DATA: I/We understand that the collection of personal data will be handled in accordance with Singapore's Personal Data Protection Act, and the information submitted in this form will be used solely for the purposes of communication, administration, planning the Retreat and archival. I/We will refer to Privacy Policy - Jurong Christian Church (jcc.sg) for more info.*

I agree

MEDIA CONSENT: I/We understand that photos, videos and audio recording of me/us may be captured during the Retreat. I/We understand some media may be used for promotional or publicity materials in digital and print mediums, and hereby give consent for its use.*

I agree

Name of Payee*

First NameLast Name

Email*

example@example.com

Phone Number

Any other comments or requests

Room Types	Rate per Person
Adult single room	$440.00
Adult twin sharing room	$350.00
Adult triple sharing room	$350.00
Child (5-12) with bed	$265.00
Child (5 - 12) without bed	$200.00
Child below 4 years old	$70.00*(For ferry charges only)

JCC Retreat (8-10 June 2023)

Registration Details

Contact Details