2025 Adult Winter Retreat Commuter Family Registration 冬令会成人连同孩童通勤报名表

12/26-12/28/2025 | Please fill out all applicable fields in this form. Each adult member with accompanying minor child/children must complete a Shocco Waiver & Release Form online. One parent or legal guardian of all accompanying minor child/children must consent on children camp's activity and medical waivers. You will be redirected to a PayPal page to complete the payment.
This form is for retreat participants who will commute to the camp site daily. Every adult commuter with children must complete a retreat registration form and submit a Shocco waiver form. All commuters (adults and children) must pay for the facility fee and meal expenses. 这份报名表是为通勤参加营会者设计的。每一位通勤的成人连同随行孩童必须填写一份冬令会报名表,支付场地及餐食费,并上網填写营地免责书。

Adult Commuter (Responsible Person) 成人通勤者(负责人)

 
 
 
 
 
 
 
 
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Please complete and submit a Shocco Waiver form by clicking the link below. One adult and accompanying child/children only need to complete one waiver form.

请点击下列链接填写营地免责声明。成人可以连同随行的未成年孩童共填一张表。

After you click the link below, a new window will open for you to complete and submit the waiver. Then you can return to the registration form tab to continue your registration process.


当您点击下列营地免责声明链接,一个新的视窗会开启,以便填写及遞送免责声明给营地管理单位,随后您可以回到报名表视窗,继续完成报名所需填写项目。


The "Event Name" for the waiver form is "2025 December SE Chinese Family Retreat".

Shocco Waiver & Release Form 营地免责声明

Please select one option.
Child Commuter #1

 
 
 
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Child Commuter #2

 
 
 
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Children Camp Waivers to be completed by parent/legal guardian of minor child/children. 未成年孩童之家长或监护人请勾选下列儿童营免责声明

51st Annual Southeast Chinese Christian Winter Conference Children’s Camp Activity and Medical Waiver


51届美东南华人基督徒冬令会儿童营活动及医务免责书


Activity Waiver: In consideration of my child being allowed to participate in activities at the Shocco Springs Children’s Camp from December 26 to December 28, 2025, sponsored by Birmingham Chinese Christian Church and Huntsville Chinese Christian Church, I hereby release, discharge, and agree to hold harmless both churches, including their ministers, officers, employees, agents, and all volunteer personnel from any liability, claims, demands, and causes of action arising from any loss, damage, injury, or illness sustained by my child during the camp. I also agree to indemnify both churches and their representatives from any claims, damages, and liabilities (including reasonable attorney fees, litigation expenses, and court costs) that are required to pay arising from any injury or damage during the camp activities.


Medical Waiver: In the event of a medical emergency, I authorize the staff and volunteers of Birmingham Chinese Christian Church and Huntsville Chinese Christian Church to arrange for medical treatment deemed necessary for my child's well-being. I release both churches and their representatives from any liability related to medical care provided. I accept all financial responsibilities for medical expenses incurred during emergencies and understand that efforts will be made to contact me in the event of a serious illness or injury.

Please select one option.
 
 
Facility Fee & Meal Expense Schedule 场地餐食费用表

12/26/2025 dinner available
12/27/2025 breakfast, lunch and dinner available
12/28/2025 breakfast and lunch available; dinner is available for 3-night campers and 4-day commuters
12/29/2025 breakfast and lunch available


Adult Facility Fee:
$20 per adult per day
成人场地费: 每人每天$20

Adult Meal Fee: 
$10 per meal per adult 
成人餐费: 每人每餐$10

Child Facility Fee:$10 per child (of any age) per day
儿童场地费: 每人每天$10

Child Meal Fee: 
$5 per meal per child (of any age) 
儿童餐费: 每人每餐$5

Please compute your total amount due carefully and select the accurate total payment below. This amount is not eligible to be treated as tax deductible charitable contribution. You will be redirected to a PayPal page to complete the payment. Once you complete and pay for the fees, no refund will be granted if you change your attendance plan.

请自行计算营会场地餐食费总额,核对后请选择下列应缴金额。此项费用不能作为减税奉献支出。您会被转入PayPal網页完成付款程序。报名付款完成后,如果您改变出席计划,恕不退款。
 

Description

12/26-12/28/2025
Please fill out all applicable fields in this form. Each adult member with accompanying minor child/children must complete a Shocco Waiver & Release Form online. One parent or legal guardian of all accompanying minor child/children must consent on children camp's activity and medical waivers. You will be redirected to a PayPal page to complete the payment.