Single Parent Families

Retreat 2021: Single Parent Family Registration

Craving a weekend away from the daily grind? Unwind and recharge with us at our fall retreat!

Jubilee Church's family-friendly retreat includes sessions for adults, a fun program for K-6th graders, free time, four meals, and comfortable lodging at Lake Texoma.

When: October 17th–18th • Saturday lunch to Sunday lunch
Where: Prothro Center • 269 Methodist Ln, Pottsboro, TX 75076

Registration Pricing
$70 each – Parent
$25 each – Child 4-17 years
No charge – Infant to 3 years

Please ask about a discount if financial aid is needed or you can only attend part of the weekend. Payment can be made via Zelle or check by retreat weekend. If paying through Zelle, find us using the email offering@jubileechurch.us and include retreat on the memo line. Checks can be made out to Jubilee Church and placed in the Sunday offering bin.

Deadlines
Registration – October 4th
Payment – due by retreat weekend

Single Parent Family Registration Form

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Emergency Contact Name *

First

Last

Emergency Contact Phone Number *

Child 1 *

First

Last

Grade *

Age *

Child 2 *

First

Last

Grade *

Age *

Child 3 *

First

Last

Grade *

Age *

Child 4 *

First

Last

Grade *

Age *

Child 5 *

First

Last

Grade *

Age *

Child(ren)'s Allergies and/or Medical Needs *

If Other, please specify below: *

RELEASE AND POLICY AGREEMENT
By attending Jubilee Church’s Fall Retreat, I agree to be bound by the following agreement.

Photo, Audio, and Visual Presentations Release. I understand that photographs, audio and/or video recordings may be taken of me and my dependent(s) while attending Jubilee Church’s Fall Retreat. I hereby give our consent and permission to Jubilee Church to use our likenesses and voices in any manner, including but not limited to, publishing, reproducing, exhibiting, and broadcasting through any print and electronic media, including the internet, social media, and Jubilee Church’s website. I hereby release Jubilee Church, its successors, officers, employees, agents, and assigns from any claims, damages, or demands whatsoever that may arise by reason of such use.

General Release. I hereby release and forever discharge and hold harmless Jubilee Church and its successors, officers, employees, agents, and assigns from any and all liability, claims, and demands of whatever kind or nature, including but not limited to, bodily and personal injuries or damage to property that arise from or occur by reason of my family's participation in Jubilee Church’s Fall Retreat.

I agree that typing my name below is considered equal to providing my signature. By signing below, I acknowledge that I have read and understand the Release and Policy Agreement in full and agree to abide by it.

Name *

First

Last

Date *

Questions or Additional Comments *

Retreat 2021: Single Parent Family Registration

Single Parent Family Registration Form

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