CCMC ECHO

1. CCMC ECHO Summer Retreat ‘08 August 8-10 @ NIU Friday 5:30pm – Sun 2pm

2. Registration Form Relevant Christianity: Faith & Culture CCMC ECHO Summer Retreat 2008 Personal Information: Join us for a weekend getaway as Career & College believers & seekers come together to gain greater understanding of how our Faith & Culture intersect. Name: _________________________________________________________ Address: ______________________________________________________ ______________________________________________________________ Phone: _____________________________________ Gender: _________ E-mail: ________________________________________________________ Which Church do you attend? _____________________________________ Please circle one: Career College (what year?) __________ Will you be requesting a partial scholarship? ____________ When: August 8-10, 2008 Time: Starts: Friday, Aug 8; 5:30 pm Ends: Sunday, Aug 10; 2:00 pm Where: NIU (Northern Illinois University) University Plaza 900 Crane Drive DeKalb, IL 60115 Cost: Early Bird Registration: $125 (before July 6th) Regular Registration: $140 (after July 6th) - Checks payable to ‘CCMC’ with memo: ‘Summer Retreat R&B’ - Children 5-12 are 15% off & children under the age of 5 are free - Partial scholarships are available upon request. Please contact Pastor Alex Chu for details. Health Insurance: Health Care Provider:___________________________________________ Policy: _______________________________________________________ Emergency Contact: ____________________________________________ Phone: _______________________________________________________ Retreat facilities include suite style rooms with A/C, private baths, blankets & pillows are available. Recreational activities included: swimming pool, bowling alley, gym, & other outdoor options. Youth & Children’s programs are available. Also an International ministry is available for Mandarin speakers. Transportation: About our Speaker: Are you planning on driving to retreat? _________________________________ If yes, how many people other than yourself are you willing to carpool with? ____ Our guest speaker is Tom Lin, InterVarsity’s Regional Director for the Central United States and the author of the first Asian American ministry book published by IVP, “Losing Face, Finding Grace.” Tom has been married to his wife Nancy for 8 years and together they love going on world adventures with their two baby daughters, Abby (3) and Olivia (1). Waiver: By attending the CCMC ECHO Summer Retreat, I waive any liability on the part of CCMC, its agents, or its employees for any accident, injury, personal losses or other damages. In the case of a medical emergency, I allow CCMC to bring me to emergency medical care, for which I assume full liability and responsibility thereof. Signature: ______________________________________ Date:______________ If your church is interested in co-sponsoring this event. Please contact Pastor Alex Chu of CCMC at PastorAlexChu@gmail.com or 312-371-5855. Please return your registration form & payment to: Truman Hwang or Jim Lee