Use this form to register an adult sponsor/chaperone for the Georgia NYI Fall Retreat. The Retreat will be held at the FFA Campground in Covington, GA and will be November 17 -19 2023.

Your Registration Cost is based on the postmarked date of the deposit check sent by the church you are attending with (see below). The cost scale is as follows:Deposit at all levels: $50 (Non-refundable, but transferable)Cost if postmarked by : October 22 $180. October 23 - November 5th: $190 November 6 - November 10th $200. after November 10th: $210

Please register as follows: 1. Complete the online registration form, including the online waiver with an electronic signature 2. Give the Deposit money to the church you are attending with, made out to that church. 3. By each registration deadline (Oct. 22, Nov 5, Nov 10) the church must send ONE check from the church made out to "GA NYI" to secure the registration price. 4. Please send payment to: Mt. Olive Church of the Nazarene ATTN: Nannette Mayo 591 Mt. Olive Church Rd. Wrightsville, GA 31096. PLEASE NOTE: your registration is not finalized until your church has mailed in a check for the deposit for the participants. Registration costs are based on the POST MARKED date of the check sent from your church. All late fees are FINAL due to the increased cost from the campgrounds.

- NO weapons, drugs, tobacco, vape products, alcohol, fireworks, or gaming systems- Be respectful of other people and property- Modest clothing at all times- No one is allowed out of their cabin after curfew. No male students are allowed in the female dorms and no female students are allowed in the male dorms. We are requesting all chaperones to please be diligent to keep an eye out for your students at all times during the retreat.

If you need any help registering, or have any questions about the process, please contact our team at georgiafallretreat@gmail.com, and you will receive an answer within 24 hours.

Use this form to register adult sponsor/chaperone for the Georgia NYI Fall Retreat.

Please provide as much detail as possible when completing allergies and medical needs. Please know that we will NOT be collecting medications, and that each church will be responsible for making arrangements with a responsible adult leader to oversee the distribution of prescription medication. We will have a Camp Nurse available for minor injuries and non-prescription medication distribution as necessary (e.g. antacids, Tylenol, Benadryl, etc.)

In the event of either a medical emergency or a failure to abide by the expectations and Camper Covenant, we need the best emergency contact.

Please read the following General and Medical Release statements and complete the electronic signature below.

I, (campers name) after careful consideration, will participate in the Georgia District Church of the Nazarene (hereinafter “District”) sponsored Fall Retreat, to be conducted from November 17-19, 2023. I am aware of the purpose and scope of this event. I recognize that it is an extraordinary church function and accept responsibility for the general and normal risks involved in this activity. Therefore, in consideration of the District permitting me to participate in this Event, I release the District, their respective members, offers, directors, subcontractors, employees and/or agents of liability for any injuries and/or losses which may occur or arise out of (whether directly or indirectly) by way of my participation in such activity, except those caused by willful, wanton, reckless, or malicious actions of said District and their respective members, offers, directors, subcontractors, employees and/or agents. I understand the event may include several campus activities.

I further accept responsibility for my actions and agree to be financially liable for any damages resulting from unacceptable behavior.

By signing this consent form, I give permission to the District for any photos or videos taken of me for the duration of the event, and that they may be used at the discretion of the District for promotional purposes.

If it is necessary for me to receive medical, surgical, or dental care administered, I give permission for the trip leader to authorize care for me in the event that I am unable to, for the period of the activity as a part of the event.

The participating adult must read and sign the following statement:

I understand that this is retreat is a unique opportunity to have fun, build relationships, and encounter God. I will respect the rule, the leaders, the property, and the safety of everyone in attendance. I commit to fully participating and making this the best event for me as I am able to. I understand that failure to respect the rules, persons, or property could result in me being required to leave the event early at my expense. But I know that wouldn’t be a problem!

You've completed the Online Registration Form. Your next step is:1. Send your deposit monies to the church you are attending with.2. Remind your NYI Director or Pastor to send ONE check from your church to lock-in your registration cost

You will receive a confirmation email from georgiafallretreat@gmail.com with reminders and packing instructions. This email address will be used to send a follow-up reminder the week of the Fall Retreat.