How to Register ONE FORM PER PERSON, PLEASE

How to register ONE FORM PER PERSON, PLEASE

Register by mail:Fill out this form, both sides. Send it and your check or PayPal transaction number toSerenity Retreat, PO Box 2429, Portland, OR 97208.

Register online: go to and follow the links, then fill out the form. PayPal lets you use credit or debit card.

Pay by check enclosed with your registration form or by PayPal to . If you register online, PayPal automatically sends the payment to the right email address.

Early Bird registration must be emailed or postmarked on or before June 10, 2013. A deposit of at least $100.00per personis required on all registrations. Scholarship money can count as part of the deposit. Payment in full is due by July 5, 2013, including scholarship money.

We can refundonly for cancellations emailed or postmarked by July 5. Mail to the PO Box, emailto or call Vee or Marie.Late cancellations cannot be refunded.

PRINT LEGIBLYThanks!

Full Name______

Address______

______

Phone (______)______

Email ______

PayPal Transaction Number: (if using PayPal)______

Type of registration / Pick / Price
Commuter / $117.00
Early Bird by June 10, 2013 / $192.00
Regular (After June 10, 2013) / $212.00
Requesting a single or couple’s room? / $50.00
Total amount due / $
Deposit enclosed / $
Amount Due by July 5, 2013 / $

Confirmation: will be sent by email. If you don’t have an email address, we will send you a postcard. We prefer email to save costs.

Food, sleeping and mobility requests

You must TELL USor we may not be able to accommodate your needs. All special needs and roommate requests arefirst-come/first-served.

Meals:
We request no sugar and no white flour for our meals. Do you have other requirements?

 Vegetarian (vegan? lacto-ovo?)______

 Lactose intolerance ______

 Gluten intolerance ______

Other special food needs: ______

______

Sleeping arrangements; check all that apply:

Quiet, early-to-bed room

Up-late-at-night room

Being with other snorers is good; or I don’t mind others snoring

Couple’s room (extra charge)

Lower bunk

As close as possible to meeting room & meals

A room by myself if at all possible (extra charge & no guarantees!)

Any other special needs? (attach a separate sheet if needed)

______

Roommates:Each personmustcomplete a registration form. Try to send roommates all in one envelope; list them all in any case. Use a separate sheet if needed. Each room holds 2-4 people, some with bunks.

Roommate #1 ______

Roommate #2______

Roommate #3______

I am available to do service:

___Arriving early, will help with registration

___Will lead early morning meeting or meditation: Topic______

___Will lead free-time meeting or activity: Topic:______

___Will pick up speaker(s) at airport

___Willtake speaker(s) back to airport

___Willhelp Ways & Means set up

___Willhelp Ways & Means pack up

The Retreat Includes

Meetings, inspiration, group sessions, speakers, fun, and OA fellowship
Six delicious meals
Double rooms with two beds, or quad rooms with two bunk beds
All rooms have private bath; linens, towels, bedding, soap, shampoo are supplied
Free time to relax, hike, sing, meditate
Optional late night and early-morning meetings

Bring along...

Personal items, toiletries, etc.
A flashlight for late night strolls
Clothes to accommodate cool and warm weather
Big Book, 12 & 12, notebook or paper, and pen
Extension cord for CPAP if needed

Scholarships

Intergroup has a limited number of $50 scholarships available toward the registration fee, if paying in full is a hardship for you. These are given out first come / first served until the fund is gone. Please donate to the scholarship fund with your registration if you wish to help others attend.

Registration opens at 4pm; Friday dinner is served at 6pm. The retreat ends after lunch on Sunday.

About the Alton Collins Retreat Center

Surrounded by giant fir and cedar, lush fern and abundant moss covered vine maple, the Alton L Collins Conference & Retreat Center located near Eagle Creek, Oregon (between Sandy and Estacada on Hwy 211) provides an environment and facilities conducive to study and reflection, relaxation and recreation. There is an elevator at this facility, meeting rooms have air conditioning and there are many pleasant walking trails and serene spots for quiet reflection and rest.

To get there, get to the intersection of US 26 and OR 211 in Sandy. Turn south onto 211 and go about 3.5 miles to the sign on the right.

Please note that no children or pets are allowed.

O.A. Serenity Retreat

July 19-21, 2013

Alton Collins Retreat & Conference Center
32867 SE Highway 211
Eagle Creek, OR 97022