Northeast Florida District United Methodist Women
Spiritual Enrichment Experience
Epworth By The Sea • St. Simons Island, Georgia
March 12 - 14, 2021
Address Line 2
Departure Date: Date:
Roommate other than family please complete separate form.
Roommate form MUST BE SUBMITTED ON THE SAME DAY as this form!
Check box if Roommate will pay separately:
Roommate pays separately
Number Adults in Room:
My room is being paid for by:
Special Request (Diet, disability, etc):
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:
Single Per Person: $338.20
Double Per Person: $224.90
Triple Per Person: $177.16
Quad Per Person: $157.88
Single Per Person: $305.94
Double Per Person: $199.56
Triple Per Person: $163.34
Quad Per Person: $150.98
Pitts / Booth
Single Per Person: $282.90
Double Per Person: $181.12
Triple Per Person: $147.20
Quad Per Person: $134.84
BUNK BED STYLE CABINS $116.82 PER PERSON:
(YOU MUST PROVIDE YOUR OWN SHEETS, PILLOW, BLANKET, TOWELS)
COMMUTERS: Pay $15.00 plus any meals - Breakfast ($9.92), Lunch ($13.79) and Supper ($15.99)
PLEASE INCLUDE TOTAL PAYMENT WITH RESERVATION
Make check payable to Epworth By The Sea
Or Submit Credit Card Information Below:
Name on Card
Credit Card Type:
Amount To Charge:
Expiration Date (mm/yy)
3 Digit Security Code:
Billing Address Zip Code:
I am authorized to make these credit card charges:
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.
I understand the Covid-19 Assumption of Risk statement above..
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,
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.**