Adventurous Adult Retreat - Living Life to the Fullest
Monday, May 15, 2023-Thursday, May 18, 2023
Epworth By The Sea Housing Form

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Name(s) for Nametag: *

Roommate Request:
We request roommates complete separate forms, and mail form in together (couples may send in one form).

ROOM RATES ARE PER PERSON,
based on the number of adults staying in the room together,
and include lodging for 3 nights, 8 meals, registration fee for the conference and taxes.
View accommodations at www.EpworthByTheSea.org:
Please check applicable rate:

Turner Lodge

Single Occupancy: $588.24 per person staying 1 adult per room

Double Occupancy: $448.17 per person staying 2 adults per room

Robertson Inn

Single Occupancy: $553.35 per person staying 1 adult per room

Double Occupancy: $413.28 per person staying 2 adults per room

Pitts/Booth

Single Occupancy: $511.50 per person staying 1 adult per room

Double Occupancy: $385.35 per person staying 2 adults per room

Arrival Date: +

Departure Date: Date: +

Number of Adults in Room: *

I am paying for how many people? *

My room is being paid for by: *

Special Request (Diet, disability, etc):

WORKSHOP SELECTIONS:

The following workshops are two-day workshops and will be held
Tuesday and Wednesday, so please only select 1 workshop.
• Ute's painting workshop
• Andy's Storytelling workshop
• Keith's writing your legacy workshop.

If you are not participating in one of the workshops above being held on both days, please select 1 workshop for Tuesday morning and 1 workshop for Wednesday morning.

Tuesday Morning Workshop:

Writing Your Legacy with Keith Elder

Pin the Tail on the Narrative: Storytelling with Andy Offutt Irwin

Ute's Painting Workshop

Adults in Motion Exercise with Kathy Griffin

Cooking Exhibition by Aramark

Therapy Dogs

Wednesday Morning Workshop:

Writing Your Legacy with Keith Elder

Pin the Tail on the Narrative: Storytelling with Andy Offutt Irwin

Ute's Painting Workshop

Adults in Motion Exercise with Kathy Griffin

Cooking Exhibition by Aramark

Therapy Dogs

Storytller, Andy Offutt Irwin provided a description for his workshop:

*Pin the Tail on the Narrative

Lawn Darts meets Eudora Welty!

This raucous workshop involves the careless throwing of pens and carefully guided steps that will lead to discovering roles we have had in our lives and the unavoidable circumstances that inhabit those roles.

A story will magically appear as the participants adhere to the elements of The Hero’s Journey:

Quest

Obstacles

Resolution

New Wisdom – for the hero

Universal truth – for those listening to the story

The above – in bold – is bold for a reason. Oh, yes.

*Note that your facilitator possesses the comedic maturity to avoid the spelling of the third word of the workshop title: T - A - L - E. You’re welcome.

OPTIONAL AFTERNOON ACTIVITIES:

ACTIVITIES for an additional FEE: Golf Demo is free.

Golf Demo with Scott Turner is free: $45.00 per person for 9 holes of golf at Jekyll Island Pro that will be paid at the course(Golf Demo by Scott Turner, PGA Professional since 2002, The Citadel Class of 1998)

Painting Workshop with Ute Sportcheutz: $30.00 per person, (https://www.utesart.com/about)

# of people attending:

Submit form with full payment to Epworth By The Sea by April 14, 2023.

Check #:

Check Amount:

Or Submit Credit Card Information Below:
The full amount will be charged upon reservation.
There is a 3% Credit Card Transaction Fee on payments over $1,000.

Name on Card

Card Type

CARD NUMBER:

Amount To Charge:

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 +

Authorized Signature

clear

EPWORTH CANCELLATION POLICY:
Cancellations prior to April 14, 2023 will receive full refund.
Cancellations after April 14, 2023 will forfeit $75 per person.
Cancellations after May 1, 2023 will forfeit $75 per person plus first night's charge per person.
Cancellations after May 8, 2023 will forfeit 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.
Email Questions to Tiffany Flavell: tflavell@epworthbythesea.org

* CONFIRMATION OF YOUR RESERVATION WILL BE EMAILED OR MAILED 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 A COPY OF THIS FORM FOR YOUR RECORDS BEFORE SUBMITTING.

Adventurous Adult Retreat - Living Life to the Fullest Monday, May 15, 2023-Thursday, May 18, 2023Epworth By The Sea Housing Form

ROOM RATES ARE PER PERSON, based on the number of adults staying in the room together, and include lodging for 3 nights, 8 meals, registration fee for the conference and taxes. View accommodations at www.EpworthByTheSea.org:Please check applicable rate: