Wesley Foundation at UNC Chapel Hill · 2024 Spring Retreat Registration

Name

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First Name

Last Name

Email

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Verify Email

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Phone

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Year

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Is there another person in Wesley you would like to have in your retreat group?

Be sure to have them request you, too! We'll do our best to accommodate.

Lodging

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Women's Room

Men's Room

T-Shirt Size

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Do you have any Dietary Restrictions or Allergies?

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Yes

No

Please List Your Dietary Restrictions or Allergies Here

What is the earliest time you can leave campus on Friday, Feb. 9th?

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Are You Able to Help Drive to Retreat?

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We will reimburse your gas at the IRS reimbursement rate for non-profits of $0.14 per mile.

If so, how many people can you drive (including yourself)?

What Makes You Most Excited about Spring Retreat?

Is There Anything Else We Should Know to Make this Trip the Best Possible Experience for You?

Health Insurance and Emergency Contact Info

Health Insurance Company:

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Health Insurance Policy Number:

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Name on Health Insurance Policy:

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Emergency Contact Name:

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First Name

Last Name

Emergency Contact Number:

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Required Acknowledgments

Health Policy

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We are no longer requiring negative COVID tests to go on Wesley trips; however, with COVID still around, we do require that you stay home if you are experiencing a fever over 100.0 Fahrenheit, vomiting, diarrhea, or other cold symptoms within 24 hours of the trip.

By checking this box, I acknowledge the COVID policy and will stay home if I am feeling sick.

Non-refundable Registration Fee

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By checking this box, I acknowledge that my registration fee is non-refundable. This is because we will have purchased food and supplies for your trip.

How Would You Like to Pay

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Confirm Payment Amount

$45

Please remember that your registration is not complete until you Venmo $45 to @UNCWesley (When you search for us, we're under the Business profile tab).

*Select $45 to confirm that you will pay $45 online to register for the Spring Prayer Retreat.

Please remember that your registration is not complete until you bring cash or check for $45 to the Wesley Building (201 E. Rosemary St--the yellow building on the corner of Rosemary and Henderson Streets). If no one's there, you can leave your payment on Linda's desk upstairs or place it through the mail slot. Be sure to put it in an envelope with your name and "Spring Retreat" on it.