EPWORTH GROWN UP CAMP
Friday, June 21, 2019 - Sunday, June 23, 2019
Housing Form for Epworth By The Sea
Nams(s) for Nametag(s):
Roommate if other than Spouse:
, based on the number of adults staying in the room together,
and include lodging for 2 nights, 5 meals - Friday Supper-Sunday Breakfast - transportation to any official programs, and taxes. Free time options for Saturday afternoon are not included. Please check applicable rate:
Pitts / Booth:
SINGLE: $364.86 per adult staying 1 adult per room
DOUBLE: $279.22 per adult staying 2 adults per room
DEPOSIT: Full Payment with individual reservation is due by May 24, 2019.
Any individual cancellation after May 31, 2019 will result in a forfeiture of
first night charge and registration fee per person.
Any individual cancellation after June 7, 2019 will forfeit the full charges per person.
Number Adults in Room:
I am paying for how many people?
My room is being paid for by:
Make check payable to Epworth By The Sea.
Check Amount: $
OR Enter Credit Card Payment Below:
Name on Card
Credit Card Type
Amount to Charge: $
Credit Card Number
3 Digit Security Code
Expiration Date (mm/yy)
Billing Address Zip Code
Check to affirm I am authorized to make these credit card charges.
I Authorize these charges
Please submit this form online, or you may print and FAX to Tiffany Flavell at 912-634-0642 or mail to:
Epworth By The Sea
P. O. Box 20407
St. Simons Island, GA 31522
Phone: 912-638-8688 • Fax: 912-634-0642
For further information please email email@example.com
No phone reservations accepted. No pets or alcohol. Check-in: 4:00pm - Check-out: 11:30am
* CONFIRMATION OF YOUR RESERVATION WILL BE MAILED OR E-MAILED TO YOU *
This form is for Epworth By The Sea Housing ONLY.