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Please complete the following electronic form and send
it via the "submit" button at the bottom
of this page. Alternatively, you may print an application
and mail it to us directly, please click
here for the printable application.
Are you returning Alumni of Genesee Home?
- If yes, please make your request via our special Alumni
Request Form.
   
* indicates a required field
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* Please tell
us how you heard about Genesee Home. We want to be
good stewards of Genesee Home's funds and value your answer
to this question so we can best direct our marketing efforts.
Please check all that apply:
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| #
of Past Visits to GH: |
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| * Your
Name: |
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| * Spouse's
Name: |
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| * Anniversary
Date: |
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| * Husband's
Birthdate: |
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| * Wife's
Birthdate: |
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| * Size
of Family: |
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| * College,
University or Bible College Attended: |
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* Seminary
Attended:
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| * Additional
Graduate School: |
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| * Mailing
Address: |
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* Home
Address 2:
* If
different from above. |
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| * City: |
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| * State: |
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| * Zip
Code: |
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| please
enter 10-digit phone numbers without spaces or dashes, e.g
5302841082 |
| * Home
Phone: |
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| * Work
Phone: |
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| * Cell
Phone: |
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| * Email: |
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| * Confirm
Email: |
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| * Spouse's
Email: |
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| MMinistry
Web Site |
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| *
Church/Ministry Name: |
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| * Average
Attendance: |
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| * Denomination: |
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| * Year
Your Minsitry Began: |
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| * Your
Position: |
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| * Descrition
of your Ministry: |
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* Special
Needs:
Food allergies, diabetic, vegetarian,
etc, please explain fully.
If you would like to speak directly with the chef, you may
email her via:
chef@geneseehome.org |
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* Other
Special Needs:
Please explain anything that
may help us accomodate any special needs. |
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| * Emergency
Contact Name: |
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| * Contact's
Phone Number: |
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Genesee Home Calendar
All dates listed below are open with
at least one bedroom available. If you don't see your
week, we are either closed or the week is full. Call if
you have a question.
Our 2012 retreat schedule is now available.
| February 2012 |
March 2012 |
April 2012 |
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19 - 24
26 - Mar 2
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04 - 09
11 - 16
18 - 23
25 - 30
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01 - 06
08 - 13
15 - 20
22 - 27
29 - May 4
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| May 2012 |
June 2012 |
July 2012 |
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06 - 11
13 - 18
20 - 25
27 - June 1
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03 - 08
10 - 15
17 - 22
24 - 29
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01 - 06
08 - 13
15 - 20
22 - 27
29 - Aug 03
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| August 2012 |
September 2012 |
October 2012 |
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05 - 10
12 - 17
19 - 24
26 - 31
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02 - 07
09 - 14
16 - 21
23 - 28
30 - Oct 05
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07 - 12
14 - 19
21 - 26
28 - Nov 02
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| November 2012 |
For Available Dates
in 2013
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For Available Dates
in 2013
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04 - 09
11 - 16
18 - 23
25 - 30
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You
may call (530)-284-1082 or (866)- 715-REST
or
email Genesee Home
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You
may call (530)-284-1082 or (866)- 715-REST
or
email Genesee Home
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If you are interested in being on our waiting list for a week
that is not listed, Please call:
1-866-715-REST.
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PREFERRED DATES: Please choose 3 dates in order
of preference and we'll make every effort to accomodate
your first choice, but would like to respond with others
if it is unavailable. All dates are Sunday - Friday.
Please note: You should plan to arrive after 3:00
PM on Sunday afternoon and before 6:00- PM and depart
after 11:00 AM on the following Friday.
A determination email will be sent within 48 hours of
our receipt of your request.
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| * 1st
Choice: |
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| * 2nd
Choice: |
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| * 3rd
Choice: |
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| Indicate in the
comment box below if your selected dates are of particular
importance. |
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Garden Room
258 ft² |
Genesee Room
365 ft² |
Hosselkus Room
321 ft² |
Meadow Room
426 ft² |
Parlor Room
417 ft² |
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Please list your 1st, 2nd, and 3rd choice of accommodations.
We will do our best to honor your choice of room; however,
rooms are assigned on a "first come-first serve"
basis.
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| * 1st
Room Choice: |
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| * 2nd
Room Choice: |
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| * 3rd
Room Choice: |
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| Indicate in the
comment box below if your selected rooms are of particular
importance. |
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| Do you intend to coordinate
your visit with any other individuals? Yes
No
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| * If
Yes, Provide Name: |
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| How will you be traveling
to Genesee Home? By Car
By Plane
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SCHOLARSHIP OPPORTUNITIES
The Board of Genesee Home offers limited scholarship
help for couples who need assistance in visiting Genesee
Home. By clicking the following
checkbox, any information currenly recorded in this form
will be submitted to us electronically via the submit
button at the bottom of the page, afterwhich you will
be forwarded to the Scholarship Request Form to complete
your scholarship application.
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Yes, after I submit this form I would like
to apply for a scholarship. |
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| * Please
briefly describe your Sabbath week desires at Genesee Home:
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| Comments:
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We are unable to accommodate children or pets.
A visit to Genesee Home is not intended to be a vacation;
it is a restful setting where you and your spouse can
be refreshed, restored and renewed through time alone,
time with God and interaction with each other.
Before you submit your request, please read and
acknowledge your agreement with our Statement
of Faith. (link opens
a new window so you will not lose any entered data on
this form)
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Yes, I agree with Genesee Home's Statement
of Faith. |
| * Please
Initial: |
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| Submission
of a request by electronic medium constitutes your acknowledgement.
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| To ensure proper delivery of our confirmation
emails, please add ministrydirector@geneseehome.org
and Charley@geneseehome.org
to your email safe-list so it is not unnecessarily filtered
from your inbox or treated like spam/junk mail. |
