Winter Weekend

Quinipet Camp and Retreat Center

Honesty | Faith | Love | Humility | Courage

Winter Weekend Retreat

Kicking off 2012, Quinipet will be hosting a Winter Weekend for any and all 7th to 12th Graders that just can't go a whole ten months without camp. Games, Vespers, returning staff, and fun are assured. And if it snows... well, let's just say you'll want to be here for it.

This weekend will be a great retreat for youth groups, returning campers, interested first time campers, and anyone who just loves camp! Bring your friends and show them what a great place Shelter Island and Quinipet are so they can see it for themselves.

This all inclusive weekend will cost $180 a person. This expense is to help cover the cost of food, heat, and programing.

Camper's Full Name *

First

Last

Parent's Name *

First

Last

Youth or Other Group Name *

Current School Grade *

Date of Birth *

Age *

Contact Information

Email *

Regular Phone

Primary Phone *

Secondary Phone *

Emergency Contact

Emergency Number 1 *

Emergency Number 2 *

Mailing Address

Address Line 1 *

Address Line 2 *

City *

Zip Code *

State *

Country *

Local Address

If you have a local address close to camp, please enter your local PO Box and Zip Code:

Local PO Box *

Local Zip Code *

Extras

Special Information *

Please include here any information that might be valuable concerning your child's or your needs.

Basic Payment Information

Payment Method *

I plan to send a check within a week I plan to pay online with a credit card I plan to apply for a scholarship

Cardholder's Name *

If you plan to pay online, we need the name on your preferred credit card in order to match your registration information to your payment information.