Mount Sinai SDA Church, Orlando
REGISTRATION FORM

Family Life Retreat
December 15-17, 2017 Rescheduled
CAMP KULAQUA
23400 NW 212TH AVENUE
HIGH SPRINGS, FLORIDA 32643
I would like to reserve my space for the upcoming Family Life Retreat with a $25.00 deposit.
Name:
Address:
City:
State:
Zipcode:
Home Phone:
Cell Phone:
Email:
Full names of all individuals in your party/room:
Select only one (1) Option per form:
Fee Per Adult = $175; Child = $75 (Min. 2 adults per room). Registration fee includes: Lodging (Woodland Lodge Room- 2 Queen beds, 2-single murphy beds, sleeper sofa, small refrigerator, microwave, and fully furnished with linens), 4 meals, retreat amenities and transportation (leaving Friday and returning Sunday).Fee Per Adult = $155; Child = $55 (Min. 2 adults per room). Registration fee includes: Lodging (Woodland Lodge Room- 2 Queen beds, 2-single murphy beds, sleeper sofa, small refrigerator, microwave, and fully furnished with linens), 4 meals, and retreat amenities. No Transportation.Per Adult = $115; Child = $25 (Min. 2 adults per room). Registration fee includes: Lodging (Woodland Lodge Room- 2 Queen beds, 2-single murphy beds, sleeper sofa, small refrigerator, microwave, and fully furnished with linens) and retreat amenities. No Transportation; No Meals.Fee Per Adult = $35; Child $25. I am interested in attending Sabbath only. Registration fee includes: 2 Sabbath meals and retreat amenities only.Fee: Adult = $50; Child = $40. Meals only for the weekend. Registration fee includes: 4 meals plus retreat amenities.
Make Checks or Money Orders Payable to:
Mount Sinai SDA Church Retreat
Deadline for ALL Fees is August 1, 2017.
After this deadline, all monies paid are non-refundable.