SPRING RETREAT!!!!

Friday, April 16, 2021 5:00 PM 17:00
Sunday, April 18, 2021 2:00 PM 14:00

lake logan conference center 25 Wormy Chestnut Lane Canton, NC, 28716 United States (map)

Google Calendar ICS

Spring Retreat to Lake Logan!

Full Name

First Name

Last Name

Phone

(###)

###

####

Deacon OneCard Number

School Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home/Permanent Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Health Insurance: Provider and Number

Any health conditions? Do you require any special accommodations?

Vaccination Status

Have you received a vaccination for COVID-19?

If "yes" when did you/will you receive the second shot/J&J?

Transportation

I can drive

I have asked to ride with someone

I need transportation

Payment options - $120/person

I have registered through Lake Logan's Website

I agree to adhere to all of the following guidelines (please check all)

I will wear a mask in public/while on Lake Logan property

I will stay physically distant from non-household group members and other guests

I will continue to follow all WFU yellow status rules

I have read and will adhere to WFU transportation safety guidelines

I realize failing to follow any of these guidelines will result in our group returning early and potentially face honor code violations

I realize if I become ill during the trip our entire group must return to campus and potentially, quarantine/isolate

Click here to register with Lake Logan Conference Center (required!!!)

If driving, Click here to download, and fill out pages 3-4 the WFU Vehicle & Transportation Safety Checklist. (Also required!) After filling out, please email the form to James (frankljd@wfu.edu)

Please RSVP via The Link / Corq

Privacy: All information collected will stay with me (James) and will be kept confidential. In case of medical emergency, I may share with James Ives or other emergency medical responders. During the retreat, I’ll only access if needed. After the retreat, I’ll delete and shred.

Pay now