Summer Camp For Adults
Housing Form for Epworth By The Sea
July 28 - 30, 2017 • Epworth By The Sea
Your Name 
Address 
City 
State      Zip Code    
Phone        Email    
Meal Plan: Friday Supper - Sunday Breakfast Rates Are Per Person, Based On The Number Of Adults Staying In The Room Together, And Includes Lodging For 2 Nights, 5 Meals (Friday Supper-Sunday Breakfast), Registration Fee And Taxes. Activities Selected Will Be An Additional Cost Determined By The Activity Selection.
~ PLEASE SELECT FROM THE FOLLOWING ACCOMMODATIONS ~
  LODGING:   1 ADULT PER ROOM   2 ADULTS PER ROOM
  PITTS / BOOTH   $321.34   $238.36 EACH
Special Request (Disability, etc.)  
Roommate Name  
Number of Adults in room:     I am paying for how many people?
My room is being paid for by:
Please Select The Activity That You Would Like To Participate In And Add The Cost Listed To Your Total Payment:
  Kayaking - $49 pp*  Horseback Riding - $120 pp*
  Paddleboarding - $49 pp*   Historic Trolley Tour - $20 pp*
  Fishing - N/A - Bring your own equipment   Guided Bike Tour - $25 pp*
  Ropes Course with Zip Line - $40 pp*   The Club - $12 pp*
*RATES INCLUDE ALL EQUIPMENT UNLESS NOTED
Make check payable to Epworth By The Sea.
Check #    Amount $   
OR
Charge to:   Visa        MasterCard        Discover      Amount to Charge: $
Card Number:        Expiration Date:
Name on Card:       
 Check here to affirm that I am authorized to make these credit card charges
Online reservations must be paid for by credit card only
Epworth Cancellation Policy:
Full Payment Due With Individual Reservation By June 29, 2017. Any Cancellation After June 29, 2017 And Prior To July 13, 2017 Will Forfeit The Program Fee And $40.00 Per Person. Any Cancellation After July 13, 2017 Will Forfeit The Full Charges Per Person.
**All rooms are non-smoking, reservations not accepted by phone but may be mailed, faxed, or emailed to the information below
Epworth By The Sea
Attn: Tiffany Flavell
P. O. Box 20407
St. Simons Island, GA 31522
Please email any questions to tflavell@epworthbythesea.org.
No phone reservations accepted.
No pets or alcohol. Check in: 4:00 p.m. - Check out 11:30 a.m.
* CONFIRMATION OF YOUR RESERVATION WILL BE MAILED OR EMAILED TO YOU *
This form is for Epworth By The Sea ONLY.