Wufoo
TICC Retreat Registration Form
There is sure to be something for everyone on our anniversary retreat!
There will be activities for kids, youth and adults. We will have amazing worship services, times of prayer and powerful preaching from our pastors. There is rock climbing, canoeing, mini putt, a great park, hiking and more.
WHERE IS THIS RETREAT ?
The retreat will be in Pefferlaw, Ontario at Riverview Camp and Conference Centre. It’s about 70-90 minutes north of the city.
WHO CAN COME?
This retreat is for EVERYONE!
HOW MUCH DOES I T COST ?
$60 per adult; $30 per child - This cost includes your
meals, accommodation and activities. Transportation may
be extra should you need us to make arrangements for it.
$180 family rate - this is a special rate for families. It
includes meals, accommodation, and activities for up to 5
people.
TRAVEL DETAILS:
We will be meeting at the campground between 4:00 pm and 6:30 pm. If you need us to arrange a ride for you, there will be a car pool leaving the church at 5:00 pm. If you are able to transport other people, please let us know.
IF YOU STILL NEED MORE INFO:
Please contact Dave Imler at dcimler@ticc.ca or call 416-497-4940 x 108.
Name Of Registrant
*
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
United States
United Kingdom
Australia
Canada
France
New Zealand
India
Brazil
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Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Democratic Republic of the Congo
Republic of the Congo
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Email
*
Phone Number
*
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Number of adults included in registration:
*
1
2
3
4
Number of children under 11 included in registration:
*
0
1
2
3
4
5
6 or more
Names of all other adult / child registrants:
(Please separate all names with commas)
Will you need transportation to and from the retreat site? (Riverview Camp and Conference Center)
*
Yes
No
Do you have any extra seats available in your vehicle to drive someone who may need a ride? If so, please indicate how many seats are available below:
*
Sorry, I have no extra seats available.
Yes, I have 1 seat available.
Yes, I have 2 seats available.
Yes, I have 3 seats available.
Yes, I have 4 seats available.
Yes, I have 5 seats available.
IMPORTANT:
Please note any food allergies for anyone included on this registration form:
(***If there are none, please indicate "NONE" in the box below***)
*
Do Not Fill This Out
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