GA NYI Fall Retreat | Student Registration

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 21: $194 (guaranteed Event Clothing), November 1st: $204, November 8th:$214, after November 8th: $224

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. 21, Nov 1, Nov 8)  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.

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 a student (grades 6-12) 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/We, (parent’s name) after careful consideration, give permission for my/our child/ward, to participate in the Georgia District Church of the Nazarene (hereinafter “District”) sponsored Fall Retreat, to be conducted from November 17 -19, 2023. I/We are aware of the purpose and scope of this event. I/We 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 my/our child/ward to participate in this Event, I/We 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 our child’s/ward’s 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/We further accept responsibility for my child’s/ward’s actions and agree to be financially liable for any damages resulting from unacceptable behavior.

By signing this consent form, I/We give permission to the District for any photos or videos taken of myself or my child/ward 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 my/our child/ward to receive medical, surgical, or dental care administered, I/we give permission for the trip leader to authorize care for my child/ward for the period of the activity as a part of the event.

The participating student 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 adult 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 the expense of my family.

- NO weapons, drugs, tobacco, vape products, alcohol, fireworks, or gang related paraphernalia are allowed - 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.

You've completed the Online Registration Form for your student. 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 church from your church to lock-in your registration cost

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