"Grown Up Summer Camp 2018"

June 22 - 24, 2018 • Epworth By The Sea
Your Name      Male   Female
Address 
City 
State      Zip Code    
Phone         Email    
Rates are per person, based on the number of adults staying in the room together,
and include lodging for 2 nights, 5 meals, registration fee and taxes.
Meal Plan: Friday Supper - Sunday Breakfast.
Please check applicable rate:
  PITTS/BOOTH:
    $358.04 per adult staying 1 adult per room
    $272.40 per adult staying 2 adults per room  
Special Request       (Disability, diet, etc.)
Roommate Request:
Roommates other than family, complete separate form.
I am paying for how many people?
My room is being paid for by:
Arrival Date Departure Date
FULL PAYMENT DUE WITH INDIVIDUAL RESERVATION BY MAY 25, 2018.
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:       
 3 Digit Security Code:       Zip Code of Billing Address:
 Check here to affirm that I am authorized to make these credit card charges
Epworth Cancellation Policy:
Any individual cancellation after May 25, 2018 will result in a forfeiture of $105.00 per person.
Any individual cancellation after June 8, 2018 will forfeit the full charges per person
Please submit this form online, print & FAX to 912-634-0642, or mail to:
Epworth By The Sea
ATTN: Tiffany Flavell
P. O. Box 20407
St. Simons Island, GA 31522
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 SENT TO YOU *
This form is for Epworth By The Sea ONLY.