Quinipet Spring Into Action Registration May 23rd-25th 2025 Survey

1.How many are in your group? Note: youth must be accompanied by a responsible adult.(Required.)

Adults

Youth (under 18)

# in your group:

2.Primary Guest Information (Your information)(Required.)

Name (First & Last)

Email Address

Phone Number

Mailing Address (Street, City, State)

Dietary restrictions

Allergies

3.Additional Guest Information(Required.)

Guest 2

Youth or adult

Dietary restrictions

Allgergies

Guest 3

Youth or adult

Dietary restrictions

Allergies

Guest 4

Youth or adult

Dietary restrictions

Allergies

Guest 5

Youth or adult

Dietary restrictions

Allergies

Guest 6

Youth or adult

Dietary restrictions

Allergies

The volunteer work day is Saturday, May 24th, 2025. You're welcome to stay at camp for the weekend at no cost! Housing is available on a first-come, first-served basis, with groups typically sharing space with other volunteers. Meals are provided from Saturday breakfast through Sunday breakfast. Please note, kitchen access in housing is not guaranteed.

4.We plan to attend:

Friday-Sunday

Friday-Saturday

Saturday-Sunday

Saturday only

6.Do any of the above participants have any special skills or areas of interest that they're interested in contributing to our Service Weekend? If so, please list. Ex: Gardening, painting, etc.

7.Do any of the above participants have any medical needs or concerns we should be made aware of? If yes, please explain.

8.Emergency Contact Information
Please provide a contact that will not be attending the event with you. Please inform this person of their responsibilities as Emergency Contact.(Required.)

Name

Phone Number

Relationship to Primary Guest

9.Please indicate below:(Required.)

I am requesting linens. (single bed sheets, blanket, pillow, towel, washcloth)

I am bringing my own linens.

I am only coming for the day, Saturday May 24th, and will not need linens.

TERMS & CONDITIONS
I agree to the following terms and conditions:

I understand that pets are not permitted and that Quinipet is a smoke free facility.
I understand and agree to the bed space limitations of the building where I am housed.
I agree to follow the established clean up and check out procedures, which are reviewed during check in.
I recognize the risks associated with staying at Quinipet, and do not hold the New York Conference of The United Methodist Church responsible or legally liable unless losses and/or injury results directly from the negligent or willful act of staff acting within the scope of their responsibilities.
I understand that if I become incapacitated and emergency care is needed, the camp will contact the local EMS for care.
I understand that I am financially responsible for any and all medical expenses, including prescriptions, incurred on behalf of myself and my guests.
I agree to abide by all established saftey protocols in place at the time of my visit.

10.Please indicate below:(Required.)

I have read and accept the Terms and Conditions outlined above.

Check in is from 4pm-6pm on Friday, May 23rd, 2025. Check out is on Sunday, May 25th, by 1 pm. You will receive a confirmation of your reservation via email. See you at camp!