2025 Dunes Women's Retreat Registration

Dunes Women's Retreat Registration

March 14-16, 2025
Name*

First NameLast Name
Address*

Mailing Address

Mailing Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
Home Church
CABIN MATE REQUEST

Please choose cabin mates. They should also choose you. These requests are not guaranteed.
Cabin Mate Choice #1

First NameLast Name
Cabin Mate Choice #2

First NameLast Name
Special Housing Requests
Food Allergies
Dunes can provide alternate food options for campers with dairy, gluten, or egg allergies. If you have dietary needs beyond, we suggest bringing your own food which you can store in our kitchen.

Registration Submission

You cannot SUBMIT your registration until you have read and accepted the Release & Permission Agreement - The SUBMIT button will not appear until completed.
RELEASE & PERMISSION AGREEMENT A. The purpose of the Dunes Bible Camp (DBC) is to provide programs and/or a facility to assist Christians in bringing the gospel of Jesus Christ to every camper and to help Christians grow in their faith. B. Any participant that engages is illegal activities, endangers others, or refuses to conform to the camp rules is subject to being sent home immediately and will forfeit camp fees. Modesty dress is also required. The camp reserves the right to determine the standard of attire. C. I recognize that DBC has taken extensive safety measures, however, I also recognize DBC cannot guarantee that the participants, equipment, grounds, and/or activities will be free of accidents or injuries. I will defend DBC, its staff, employees, volunteers, and its Board of Directors from any claims of liability arising from my participation in the DBC camps or activities. D. I give permission for DBC to use any photo or video of myself for DBC publications or promotion/advertising. I release my right to any kind of remuneration for said photos or videos. E. In the event that I cannot be reached in an emergency, I give permission to the physician selected by the camp director to hospitalize, secure proper treatment for, and order injection, anesthesia, X-rays, routine tests, and/or surgery; to release any records necessary for insurance purposes; and to provide or arrange necessary related transportation. F. I hereby authorize the directors and staff at DBC to act for me in their best judgment in any emergency requiring medical attention. I have made note of any medical or physical problems which might affect my ability to safely participate in the camp. Please sign below if you have read and agree to the RELEASE & PERMISSION agreement:*

Yes, I have read and agree to the RELEASE & PERMISSION AGREEMENT
Signature*

Clear
Retreat Costs & Payment
Full Program w/meals & lodging - $140

Commuter Fee - $85
(Commuter cost includes all meals)
If you are paying for multiple campers, please list their names below
Payment Options

Pay now by credit cardPay later with a check or by phoneRegistration fees will be covered by my church or another person

Women's Retreat - Full Program$140.00

Quantity

Women's Retreat - Commuter Fee$85.00

Quantity

Total $0.00

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Dunes Women's Retreat Registration

Retreat Costs & Payment