EmailMe Form - Overnight Construction Retreat Registration

Church/Organization Name *

Church/Organization Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Primary Contact Name *

This person will act as the "point person" for our weekend staff

Phone Number *

### - ### - ####

Email *

Secondary Contact Name *

First Last

Phone Number *

### - ### - ####

Email *

How did you hear about Blueprint Ministries?

Programming Information

Desired Retreat Dates *

We will do our best to work with the dates requested. We do not host Construction Retreats during the summer months.

Alternate Retreat Dates *

We will do our best to work with the dates requested. We do not host Construction Retreats during the summer months.

Who will be attending this retreat? *

Males

Females

Mixed

Age of Participants *

Junior High

High School

College

Adults

Total # of Anticipated Participants *

How many full days would you like to work? *

Typical construction work day is 9am - 3pm

Estimated Arrival Time *

Additional arrival information:

Estimated Departure Time *

Additional departure information:

Hospitality

Please specify which days you will need breakfast *

Breakfast includes an entree served with juice, milk, yogurt, assorted cereals, and fruit.

Please specify which days you will need lunch *

Sack lunches will be prepared by retreat attendees and include a sandwich, chips, dessert, and fruit.

Please specify which days you will need dinner *

Dinner is served with a salad, side, and a dessert.

Additional Comments

Please advise any participants with specific dietary needs to provide their own food as Blueprint may not be able to meet their individual needs. Access to our kitchen is not permitted, but a fridge and freezer are available for food storage.

Semi-Private Dormitories

Blueprint offers two semi-private dorm rooms off of the dining hall. The San Jose room offers two beds, a couch and a work space. The Alamo room offers 4 bunk beds. Showers can be accessed either in the downstairs restrooms or on the second and third floors.

Semi Private Room Rental

The San Jose Room

The Alamo Room

Both Rooms

Please check which room you would like to rent, if any. Remember, each room cost an extra $25.00 to rent for your time at the facility.

By signing below registrant agrees to the following: 1) Registrant will provide commercial general liability coverage with minimum limits of at least one million dollars ($1,000,000.00) per occurrence for bodily injury, personal injury, property damage and products and completed operations liability 2) Registrant understands that prior to arrival, each participant must complete a liability form. Liability forms (adult and under 18) are available on the Blueprint website. 3) Registrant understands that a $500 deposit is required a month prior to your arrival in order to hold your reservation.

Signature

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