Retired Clergy 2025

Retired UM Clergy Gathering 2025

at Alton L. Collins Retreat Center, October 6 - 8, 2025
Welcome to the 2025 Retired United Methodist Clergy and Spouses Gathering.

Please complete one registration form for each person. The rates listed below are for 1 person each. (I'm looking at you, couples! Please each complete your forms individually.)

Arrival time begins starting at 4pm on October 6 and concludes just after lunch on October 8, 2025.

This registration form closes on September 22, 2025.

If you are not able to fill this form out online or have questions please call us at 503-637-6411 for assistance.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Emergency Contact Name*
Emergency Contact Phone Number*
Preferred FIRST name for name tag:*
Name tags for your event will be generated directly from this entry, so only type the first name that you prefer people to use. Please use appropriate capitalization.
Do you have any specific dietary requests, needs, or restrictions?*

YesNo
What are you specific dietary requests?*

VeganVegetarian (eats eggs and dairy)Pescatarian (eats fish and shellfish, no mammals or birds)No red meat (no beef, pork, or lamb)Kosher meats only (meat will not be blessed but will be on the approved list)Gluten-FreeDairy-Free (please explain below)Other allergies, sensitivities, or preferences (please explain below)
Do you eat honey?*

YesNo
Do you eat butter?*

YesNo
Do you eat sheep or goat dairy?*

YesNo
Is this an airborne allergy?*

YesNo
Please note that we do not have emergency medical treatment for life threatening allergies on site.

You may contact our office (503-637-6411) to discuss emergency medical treatment possibilities.
What do you have an airborne allergy to? What levels of precaution are needed?*
Description of other allergies or sensitivities?*

EggsNightshadesPeanutShellfishSoyTree Nuts (please specify below)Other (please specify below)
Our kitchen considers the following tree nuts:
- almonds
- brazil nuts
- cashews
- chestnuts
- filberts (also known as hazelnuts)
- macadamia nuts
- pecans
- pistachios
- pine nuts
- shea nuts
- walnuts
Tree Nuts*

I cannot eat any of those nutsI cannot eat some of those nuts (please list below)I also cannot eat the following nuts
I cannot eat the following tree nuts:*
Our kitchen frequently prepares meals with the following common nightshades. We are aware some individuals are able to eat specific types and/or preparations of nightshades.
- eggplant
- hot pepper
- paprika
- pimentos
- potatoes (sweet potatoes are not a nightshade)
- sweet peppers
- tomatillos
- tomatoes
I am allergic to all preparations of all nightshades (raw, cooked or in spices)I am able to eat some types and/or preparations of specific nightshades. (Please explain below)
I am able to eat the following types and/or preparations of nightshades:*
Optional Question: Are there any foods you do not like to eat?
Expanded description of any specific dietary restrictions, allergies, or sensitivities:
Other Considerations?
Please select how you would like to pay for this event: (rates become visible after you select your option)*

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My Products
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Retired UM Clergy 2025, single occupancyThis includes lodging for 2 nights, meals starting with lunch on October 6 through lunch on October 8, and all program fees
$367.00



Retired UM Clergy 2025, double occupancyThis includes lodging for 2 nights, meals starting with lunch on October 6 through lunch on October 8, and all program fees
$290.50



Retired UM Clergy 2025, commuter options (not free!)Not actually free! Please contact the Alton L. Collins Retreat Center office to make arrangements and payment for your stay
$ Free



OPTIONAL: Donation to Alton L. Collins Retreat Center Donation will only be added if you change the amount below or check the box. (The program gets weirded out if you change the dollar amount below or check the box and later try to unselect it. Don't believe us? Give it a try and see what we mean, but please be prepared to redo your full registration)
$1.00 Enter donation amount here
Item subtotal:$0.00



Total

$0.00
The below options include all materials and all meals. Lodging is included with occupancy.*

Retired UM Clergy 2025, single occupancy, $367Retired UM Clergy 2025, double occupancy, $290.50Retired UM Clergy 2025, commuter options, variable prices, contact ALCRC Office
Commuter information*

I will call or email the Alton L. Collins Retreat Center office to make arrangements for the meals and times I would like to be present. Payment will be coordinated directly with the ALCRC Office. (See below or your confirmation email for our email address and phone number)
To pay with a check:
- Please make your check payable to "Alton L. Collins Retreat Center"
- Note "Retired UM Clergy 2025" on the memo line
- Mail the check to:
Alton L. Collins Retreat Center

32867 SE Highway 211

Eagle Creek, OR 97022

We will email you when we receive your check in the mail.
If you have any questions or concerns about completing your payment for this event, please contact Dan or Christa at Alton L. Collins Retreat Center. They can be reached at the email address or phone number below.

Email: office@collinsretreatcenter.org

Phone: (503) 637-6411
Please provide the name of your roommate if you have one:*
Please verify that you are human*
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

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Retired UM Clergy Gathering 2025