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2026 Multi-Parish Retreat Registration & Information Forms can be found in the church or church hall.
CAMP INFORMATION
Prindle Pond Camp & Conference Center
19 Harrington Rd., Charlton, MA 01507
203-843-2933 www.naturesclassroom.org
IMPORTANT DATES
• Early Registration Deadline: June 30th, 2026
• Final Registration Deadline & Full Payment Due: September 1st 2026
• No refunds or registration changes after
September 1st, 2026
FINANCIAL ASSISTANCE
• Scholarships may be available (Please discuss with your Rector).
• Family Assistance scholarship limits the total cost for a family at $500.00.
EARLY DEPOSIT INCENTIVE
• Register prior to June 30th, 2026, with a deposit of $25.00 per person ($50.00 max deposit per family) and get a $25.00 per person discount.
IMPORTANT ACCOMODATION DETAILS
• The lodging fee includes all activities and meals except Sunday noon meal which is optional.
• Children under 5 stay for free, ages 5-16 staying with parents stay for 75% of the adult fee.
• All rooms have private baths however, YOU bring pillows, linens/sleeping bags and toiletries.
• If you do not request roommates, the retreat team will make appropriate unalterable assignments to
meet occupancy requirements.
YOUR SPECIFIC RETREAT DETAILS
(Transfer from your registration form)
(Keep this page for your reference)
Final Payment Due: Sept 1, 2026 -
Adults: _________; Children (age 0-4): ________; Children: (age 5-16) __________;
Total People Attending _______ ;
People for Challenge Course _______
Total Due $_________; Early Pay Credit $___________; Family Cap Credit $__________
Balance Due: $_______________
Don’t forget to discuss Scholarship with your Rector as needed
Please make checks payable to Church of Our Saviour with “Retreat” in the memo line and send to 2112 County Street, Somerset, MA 02726.
2026 Multi-Parish Retreat Registration & Information
CONTACT INFORMATION:
NAME:________ PHONE:_______ E-MAIL:_______ Please print the names of everyone coming. We will use these for name badges. Also please list the age/grade of all children attending.
Name (for each adult)
Name - AGE - GRADE- (for each child)
Please indicate the number of people signing up for the Challenge Course- (This is an extra cost that we pay to the camp so please be sure to attend if you sign up.)
Note:- you will miss some Saturday afternoon free time activities.
CARPOOLING: I will be driving. I can take _____ more people, or I need a ride.
Authorization for Emergency Treatment
I, _____________________, hereby authorize any and all medical attention deemed necessary for myself, and
all my family members listed on this form, in the event of an accident, injury, sickness, etc., under the direction
of the bearer of this form, until such time as I may be contacted. This release is effective until revoked by me
and I hereby assume responsibility for payment of such treatment.
Insurance & Contact Information ___________________
Insurance Company: Policy # _____________________
Subscribers Name:
Subscribers Date of Birth
Main Contact: Telephone #
Secondary Contact: Telephone #
Signature (Self or Parent/Guardian) Date:
Signature (Self or Parent/Guardian) Date:
SPECIAL REQUIREMENTS: Mobility, Food
Allergies or Medical Allergies, etc.
2026 Multi-Parish Retreat Registration & Information
Room & Board Costs:
All rooms have private baths. You bring your own linens-sleeping bags, pillows, and toiletries.
Adults: ______ @ $210.00= $____________
Children (5-16): ______ @ $157.50= $____________
Children (under 5): ______ @ $0.00= $____________
Sunday Lunches: ______ @ $15.00= $____________
Almost all rooms have 2 bunk beds and will accommodate up to 4 people. We anticipate that most
adults without children will be 2 to a room and use the bottom bunks only. A few rooms have one bunk bed, and there are also several ADA rooms. Feel free to discuss specific lodging requirements with the retreat committee.
If total family cost is over $500 please enter $500 on the
“Adjusted Cost” line. If not, please transfer the “Cost” amount to the Adjusted Cost line.
Cost: $ ____________Adjusted Cost: $_____________
Voluntary Contribution: If you would like to make an additional contribution towards the Retreat Scholarship fund it will go toward helping someone attend who might not be able to afford it otherwise. Amount: $ __________
Total Cost Before Credits: $ ______________
CREDITS: Early Pay Credit:______ @ $25=$_________
Deposit ( _____/_____/_____) Amt: = -$___________
Total People ______
Amount Due After Credits & Payments: $___________
Do you have a skill or talent you’d be willing to share? We’re looking for volunteers to lead a fun free time activity during the retreat! Activity Suggestion ______
FINANCIAL ASSISTANCE -
• Scholarships are available (Please discuss with your Rector)
• Family assistance scholarship limits the total cost for a family at $500.00
IMPORTANT ACCOMODATION INFORMATION –
• The lodging fee includes all meals and activities except the Sunday lunch.
• Children under 5 stay for free, ages 5-16 stay for 75% of the adult fee.
• If you do not request roommates, the retreat team will make appropriate unalterable assignments to meet occupancy requirements.
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