United Methodist Camp and Retreat Ministries National Gathering
Epworth By The Sea • St. Simons Island, Georgia
Monday, January 23, 2023 - Friday, January 27, 2023

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Roommate(s) Name:
Roommate other than family please complete separate form

Check box if Roommate will pay separately:

Roommate to pay separately

Special Request(s):

Rates are per person, based on the number of adults staying in the room together, and include lodging for 4 nights, 12 meals and taxes. Early arrivals, please email Tiffany directly at tflavell@epworthbythesea.org. Full payment due with individual reservation by December 16, 2022.

Turner Lodge

Single - Staying 1 Adult per room: $621.80 per person

Double - Staying 2 Adults per room: $435.04 per person

Triple - Staying 3 Adults per room: $348.00 per person

Quad - Staying 4 Adults per room: $304.44 per person

Robertson Inn

Single - Staying 1 Adult per room: $575.28 per person

Double - Staying 2 Adults per room: $388.52 per person

Triple - Staying 3 Adults per room: $315.40 per person

Quad - Staying 4 Adults per room: $285.84 per person

Pitts/Booth

Single - Staying 1 Adult per room: $519.48 per person

Double - Staying 2 Adults per room: $351.32 per person

Triple - Staying 3 Adults per room: $287.52 per person

Quad - Staying 4 Adults per room: $257.92 per person

Reynolds
(Full-No Rooms Available)

Single - Staying 1 Adult per room: $477.60 per person

Double - Staying 2 Adults per room: $318.72 per person

Triple - Staying 3 Adults per room: $273.56 per person

Quad - Staying 4 Adults per room: $248.60 per person

No. Children in room with adult – child (3-12 years) $84.60

No. Teen in room with adult - Teen (13-17 years) $192.44

Number of Adults in Room:

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 DECEMBER 16, 2022.
Checks payable to Epworth By The Sea

Check #:

Check Amount: $

Or Submit Credit Card Information Below:
Online reservations must be paid for by credit card only

Credit Card Type

Name on Card

Amount To Charge:

CARD NUMBER:

Expiration Date (mm/yy)

3 Digit Security Code:

Billing Address Zip Code:

Authorization:

I am authorized to make these credit card charges:

Today's Date: +

Signature:

clear

Epworth Cancellation Policy:
Any individual cancellation prior to 30 days of the group's arrival date will receive a full refund.
Any individual cancellation within 30 days of the group's arrival date will forfeit the first night's charge per person.
Any individual cancellation within 2 weeks of the group's arrival date will forfeit the full charges per person.

Please submit this form online or you may print and mail to:
Epworth By The Sea
Attn: Tiffany Flavell
P. O. Box 20407
St. Simons Island, GA 31522

Reservations must be made online.
For any additional information regarding accommodations,
contact Tiffany Flavell: tflavell@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.
ALL ROOMS ARE NON-SMOKING
This form is for Epworth By The Sea ONLY.

PLEASE PRINT A COPY FOR YOUR RECORDS BEFORE SUBMITTING THIS FORM.

United Methodist Camp and Retreat Ministries National Gathering Epworth By The Sea • St. Simons Island, Georgia Monday, January 23, 2023 - Friday, January 27, 2023

Rates are per person, based on the number of adults staying in the room together, and include lodging for 4 nights, 12 meals and taxes. Early arrivals, please email Tiffany directly at tflavell@epworthbythesea.org. Full payment due with individual reservation by December 16, 2022.

FULL PAYMENT DUE WITH INDIVIDUAL RESERVATION BY DECEMBER 16, 2022.Checks payable to Epworth By The Sea

Or Submit Credit Card Information Below:Online reservations must be paid for by credit card only

* 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. ALL ROOMS ARE NON-SMOKINGThis form is for Epworth By The Sea ONLY.

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

United Methodist Camp and Retreat Ministries National Gathering
Epworth By The Sea • St. Simons Island, Georgia
Monday, January 23, 2023 - Friday, January 27, 2023

FULL PAYMENT DUE WITH INDIVIDUAL RESERVATION BY DECEMBER 16, 2022.
Checks payable to Epworth By The Sea

Or Submit Credit Card Information Below:
Online reservations must be paid for by credit card only

* 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.
ALL ROOMS ARE NON-SMOKING
This form is for Epworth By The Sea ONLY.

PLEASE PRINT A COPY FOR YOUR RECORDS BEFORE SUBMITTING THIS FORM.