Northeast Florida District United Methodist Women
Spiritual Enrichment Experience
Epworth By The Sea • St. Simons Island, Georgia
March 12 - 14, 2021

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Check box if Roommate will pay separately:

Rates are based on the number of adults staying in room, & include 2 nights, 6 meals, tax, & state of Georgia motel fee.

PLEASE CHECK APPLICABLE RATES:
Turner Lodge
Robertson Inn
Pitts / Booth

PLEASE INCLUDE TOTAL PAYMENT WITH RESERVATION
Make check payable to Epworth By The Sea

Or Submit Credit Card Information Below:

Credit Card Type:
Authorization:
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Authorized Signature
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COVID-19 ASSUMPTION OF RISK:
Any Person entering the premises waives all civil liability against this premises owner and operator for any injuries caused by the inherent risk associated with contracting COVID-19 at public gatherings, except for gross negligence, willful and wanton misconduct, reckless infliction of harm, or intentional infliction of harm, by the individual or entity of the premises.

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Authorized Signature
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EPWORTH CANCELLATION POLICY:
Any individual cancellation after March 1, 2021 will result in a forfeiture of $40.00 per person.
Any individual cancellation after March 8, 2021 and up to March 11, 2021 will forfeit the first night's charge per person.
Any individual cancellation after March 11, 2021 will result in forfeiture of entire per person charge.

Please submit this form online, or you may print & FAX to 912-634-0642, or mail to:
Epworth By The Sea
Attn: Trice Roberts
P. O. Box 20407
St. Simons Island, GA 31522
Reservations must be made online.
For any additional information regarding accommodations,
please email troberts@epworthbythesea.org or call 912-638-8688.

* CONFIRMATION OF YOUR RESERVATION WILL BE MAILED OR EMAILED TO YOU *
No phone reservations accepted. No pets or alcohol. Check in: 4:00 p.m. - Check out 11:30 a.m. Sometimes great opportunities are missed when too many people wait until the last minute to register. We cancel undersubscribed events so please register early. We don't want to cancel what you want!!
This form is for Epworth By The Sea ONLY.

**PLEASE PRINT THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.**