2011 Retreat: September 16-18
• Arrive on Friday between 4:00 and 6:00 PM (dinner is at 6:00 sharp)
• Retreat will end at 3:00 PM on Sunday
• Cost
$200 – Semi-private(two beds) with bath & linens SOLD OUT
$150 – Dormitory – shared bath and no linens
Retreat Packing List
- Flashlight (important to get to cafeteria and workshops in the dark)
- Bug Spray
- Sunscreen
- Clothing (hot/cool weather, sun/rain)
- Towels
- Toiletries
- Sleeping bag or bedroll (if staying in dorm room)
- Pillow (if staying in dorm room)
- Rain Gear/Umbrella
- Shade hat (optional)
- Props for Talent Show (optional)
- Comfortable, light-weight chair (optional)
Please print out this form and email or mail as instructed below.
EXPONENT RETREAT REGISTRATION FORM 2011
Fill out and e-mail (or, if sending a check, mail) the form below to Cheryl DiVito at cdivito@capecod.net (618 Main Street, Brewster, MA 02631)
Name: ____________________________
Address: _________________________________
City: ___________________________
State: __________________
Zip: ____________________
Home phone: _______________
Cell phone:_____________________
Email: _______________________________
Dietary restrictions: (vegetarian, gluten free, etc) _________________
Emergency contact name:_______________________
Emergency contact home phone: __________________
Emergency contact mobile phone: ___________________
Exponent II is giving attendees a keepsake t-shirt this year. Please indicate your size: _________________________
I will be bringing a non-mobile nursing infant: ______
Talent show contribution (optional): ______________________________________
PLEASE USE PAYPAL (PREFERABLE) OR MAKE OUT YOUR CHECK PAYABLE TO EXPONENT II AND SEND REGISTRATION AND CHECK TO:
Cheryl DiVito, 618 Main Street, Brewster, MA 02631
Semi-private: $200
Dormitory style: $150
To pay online use the convenience of PayPal below: