Winter Weekend 7 [WW7] Signup
Date of retreat: January 10-12, 2025. Sign up today! Registration deadline Wed Jan 1 at midnight. See brochure for schedule and packing list at www.copcvt.org.
WW7 Teen retreat for ages 13+ and adult chaperones. Everyone please fill out.
hosted by Covenant OPC Barre VT Questions or problems with this form? email olivia@copcvt.org Suggested donation $40 each for food and activity expense [50% family discount for 2nd, 3rd child, etc.] Chaperones free.
Name of person attending
First Name
Last Name
cell phone of person attending (if you have one)
Please enter a valid phone number.
home church of attendee
email of attendee
example@example.com
Emergency Contact Name and Phone Number
Home address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Age at the retreat in Jan
Any food allergies, pet allergies or other health issues I should know about?
INFO FOR OUR SAT AFTERNOON TRAMPOLINE PARK ACTIVITY: We will be jumping at a great indoor trampoline park on Saturday afternoon. Please tell me your sock size -- (grip jump socks required)
Type Adult S, M or L
date of birth -- required for my roster for the Tramp. Park reservation
Each attendee needs to fill out this waiver of liability form for the Tramp Park activity. You can do this in advance to save time! The link is https://getairsports.com/williston Go to the SIGN WAIVER on the top right bar of the home page. This needs to be renewed every 12 months, so even if you have jumped at a Get Air before, please do this again.
I have filled out the waiver
I have not filled out the waiver
Anyone attending but NOT jumping - can watch from sidelines
Medical Release Form [under age 18] In case of medical emergency I understand that every effort will be made to contact the parents or guardians. In the event I cannot be reached, I give my permission for my child to be treated by an accredited physician in an approved emergency facility. I therefore designate the Winter Weekend Director or other adult leader of the group with the authority to act on my behalf, and to hospitalize, to secure proper treatment for, or to order emergency injection, anesthesia, or surgery for my child named on this registration form. I further release from any liability Covenant Orthodox Presbyterian Church and the adult leaders in the event of an accident. PARENT SIGNATURE - use your mouse to sign.
Medical Policy Number, please enter below [Under age 18]
Choose how you will pay - suggested donation $40 each with 50% multifamily discount on additional siblings. [electronic payment is most helpful, if possible]
PayPal to Olivia in advance [paypal to olivia@copcvt.org -- make sure you specify name of registrant[s] in the note]
Venmo to Olivia in advance [ @Olivia-R-Durham make sure you specify name of registrant[s] in the note ]
bring with you cash or check [made out to Covenant OPC with WW7 on memo line]
chaperone over age 18 - no charge
If you would be able to drive people to the trampoline park [40 miles away] please let me know your type of vehicle and how many it seats. [If you are driving a non-family members you must be age 21 or over]
Anything additional to mention -- special schedule or arrival/departure needs, special need accomodation, etc. Feel free to call or text Olivia with questions in advance.
Submit this form to Olivia
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