Guided Retreats at HMB | Youth for Christ Canada

Name*

First Last

Email*

Enter Email Confirm Email

Mobile Phone

Address

Street Address Address Line 2 City Province Postal Code

Your Chapter*

Your Supervisor's Name*

Retreat You Will Attend*

This retreat is now FULL. Participation cannot be guaranteed.

What is your main reason for coming on this retreat, and/or, what do you hope to gain or receive from this retreat experience?

Dietary Needs

Transportation

Don't forget, you need to arrange your own transportation to Vancouver Island . If you need a ride from the airport or ferry please read the following section carefully.

Do you need transportation to and/or from the Retreat Centre?*

When making travel plans:

If travelling by air, please plan to fly into/out of the Nanaimo airport if at all possible.
Please make sure you arrive at the airport/ferry by 3:00 PM on the first day of the retreat.
When departing, flights/ferry should not depart until after 10:00 AM on Day 5 of the retreat.

Where Do You Need To Be Picked Up?

Please provide details of your arrival including date, time and flight number if applicable. if you need transportation from Nanaimo please plan to arrive there between 1 and 3 PM to minimize your wait time.

Please Read Carefully

You must click 'I Agree' Before Submitting Your Registration

I understand that the Retreat landscape and walkways are a setting with uneven surfaces, depressions and moisture. I further understand that the use of the hot tub, sauna and fitness room can result in injury. I hereby assume full responsibility for all risk and danger of loss, damage, or personal injury while at the Retreat and using the Retreat amenities, services and equipment. The ‘services’ described in this manner include, but are not limited to: massage, counseling, neurofeedback, medi-spa treatments, health consultations, fitness consultations, etc. I hereby agree to defend, indemnify, and hold harmless, all claims against the Retreat, its employees, agents, sponsors, for myself, my family or my guests.*

I Agree

I hereby release, waive, discharge and covenant not to sue the Retreat, its directors, officers, employees, or agents, from all liability to the undersigned, his/her personal representatives, assigns, heirs, or next of kin for any loss, damage, or any claim or demands therefore on account of injury to the person or property, or resulting in death of myself, my family or guests, while I, my family or my guests are in, upon or about the Retreat premises or any facilities or equipment therein or participating in any program or service affiliated with the Retreat.*

I Agree