“Ripples” FCCE Fall Retreat Registration

September 30 - October 2nd, 2022 * Tower Hill Camp and Retreat Center, Sawyer, MI *

NAME(S):______________________________________________________________________________________________________________________

EMAIL:_______________________________________________________________________________PHONE:________________________________

Dietary Restrictions:________________________ Lodging Needs: ____________________ Offer Ride_____ Need Ride ____

The retreat rate includes conference-style lodging with shared bathrooms for Fri & Sat nights plus meals Fri dinner through Sun
breakfast. Half retreat: lodging Sat night; Sat lunch through Sun breakfast. Most activites are all-ages. Childcare available during adult
sessions. Bring your own pack-n-play for toddlers & infants. Suggested contributions below. Max $300 per family.

Name Full Half Kid $50 <2yrs Scholarship Donation to Total

Retreat Retreat Old Requested Scholarship
Adult $150 Adult $80 Free Fund

Total

_______ Yes, I have an idea/activity I want to share/lead! :_________________________________________________________________________________________

Please make check payable to First Congregational Church of Evanston, UCC. Return form & payment in envelope marked “Retreat Registration” in
the collection plate or to the church office by September 25th.