OCF Winter Retreat Registration

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Dates: January 4-7, 2023 (We will be having Sunday service on Jan. 7 at church)

Location: Palomar Christian Conference Center (34764 Doane Valley Rd, Palomar Mountain, CA 92060)

Cost: $170 (until Dec. 15), $220 (after Dec. 15)

PLEASE NOTE: Your registration is not complete until we receive payment.

(Details on Online Payments will be made available soon.)

To pay online:

- Riverside Students: Send payments to Jonathan Kim [Zelle: (949) 491-6332 / Venmo: @jonkim37]

- Non-Riverside Students: Send payments to Bryce Cheung [Zelle: (714) 861-9353 / Venmo: @bryce-cheung-1]

- ZELLE PAYMENTS ARE PREFERRED, BUT VENMO PAYMENTS ARE OKAY.

- PLEASE DOUBLE-CHECK AND MAKE SURE TO SEND PAYMENTS TO THE CORRECT PHONE NUMBER OR USER ID

Physical payments can be made via check or cash

- Please give cash/check payments to Pastor Amos (Make checks Payable To: Irvine Onnuri Church)

Email *

Last Name *

First Name *

Date of Birth *

YYYY

Gender *

Male

Female

Home Address *

Phone Number *

Year in School *

1st Year

2nd Year

3rd Year

4th Year

5th Year or Beyond

Full Name of Emergency Contact (and relation) *

Emergency Contact Phone Number *

Please list any allergies or dietary restrictions

WAIVER OF LIABILITY

By submitting this form, I, the undersigned, acknowledge that Irvine Onnuri Church will not be held liable for any accidents, injuries, property damages that is incurred to the participant listed above during any Irvine Onnuri Church-sponsored game, activity, contest or event, including travel to and from any event location on any vehicle designated by Irvine Onnuri Church. I also waive any and all responsibility towards Irvine Onnuri Church and its staff and volunteers from liability from any and all claims resulting in accidents, injuries, property damages. I acknowledge that I am financially responsible for any and all property damage created by the participant listed above. I also permit any necessary medical attention that must be administered to the participant listed above by certified individuals if a medical emergency occurs.

I affirm that I am the participant whose name appears on this form and have read and agree to the Waiver of Liability above

A copy of your responses will be emailed to the address you provided.

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