Single Parent Families

Retreat 2018: 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 conveniently falls on Columbus Day weekend and includes sessions for adults, a fun program for K-6th graders, free time, five meals, and comfortable lodging at Lake Texoma.

When: October 5th–7th • Friday evening to Sunday morning
Where: Prothro Center • 269 Methodist Ln, Pottsboro, TX 75076

Early Registration Pricing
$125 – Parent
$35 – Child 8-17 yrs
$15 – Child 3-7 yrs
No charge – Infant-2 yrs

Regular Registration Pricing
$125 – Parent
$40 – Child 8-17 yrs
$20 – Child 3-7 yrs
No charge – Infant-2 yrs

Cash or check payments may be given to Daniel or Mai Ly Kwan in person or mailed to 1300 Annalea Drive • McKinney, TX 75071. Checks can be made out to Jubilee Church. Please ask about a discount if financial aid is needed or you can only attend part of the weekend.

Deadlines
Early Registration – September 9th
Regular Registration – September 21st
Payment – due by retreat weekend

To reserve your spot, please register by completing the form below.

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 2018: Single Parent Family Registration

Single Parent Family Registration Form

Location
10955 Custer Rd, Frisco, TX 75035
214-244-7652

Join Us This Week

Contact Us

Retreat 2018: Single Parent Family Registration

Single Parent Family Registration Form

Location10955 Custer Rd, Frisco, TX 75035214-244-7652

Join Us This Week

Contact Us

Location
10955 Custer Rd, Frisco, TX 75035
214-244-7652