PALS Retreat – Camp Io-Dis-E-Ca

PALS Retreat Registration

"*" indicates required fields

We look forward to hosting you on Sunday, November 2 and Monday, November 3rd at the PALS Family Retreat. The retreat begins at 4:00 pm Sunday and will run until 4:00pm Monday. Supper will be served at 5:00 pm Sunday. Breakfast will be served on Monday at 8:00 am. Lunch will be served on Monday at 12:00 pm.

Name*

First Last

Email*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Emergency Contact*

First Last

Emergency Contact Phone*

Dietary Restrictions

Please list any food allergies or dietary restrictions.

Overnight Guests

Overnight Guests (Ages 0-4)

Price: $0.00

Overnight Guests ages 5-12

Price: $12.50

Overnight Guests (ages 13+)

Price: $25.00

Our family will not be attending overnight, but we are exctied to attend during the day on:

Sunday

Price: $5.00

All ages

Monday

Price: $5.00

All ages

Meals

Sunday Supper (Ages 0-4)

Price: $0.00

Sunday Supper (ages 5-12)

Price: $5.00

Sunday Supper (ages 13+)

Price: $10.00

Monday Breakfast (Ages 0-4)

Price: $0.00

Monday Breakfast (ages 5-12)

Price: $4.50

Monday Breakfast (ages 13+)

Price: $9.00

Monday Lunch (Ages 0-4)

Price: $0.00

Monday Lunch (ages 5-12)

Price: $5.00

Monday Lunch (ages 13+)

Price: $10.00

Camp Linens

Price: $5.00

For a $5 fee, we will provide you with a pillow, pillowcase, fitted sheet, flat sheet, blanket, and towel so you can enjoy your time and return home without added laundry.

Total

You'll receive a confirmation email to print off and mail in with your payment.

Please mail your check payment to: Camp Io-Dis-E-Ca 3271 Sandy Beach Rd NE Solon, IA 52333

If you would like to pay your registration electronically, please email office@iodiseca.org. You will be provided with a link to pay online. Please note, a 3% processing charge will apply to all electronic payments.