VISIT US
Please complete this Request for Visit and mail to the following address:
Genesee Home
Phone: 530-284-1082
Phone:1-888-784-3873
Please tell us how you heard about Genesee Home? (please circle all that apply)
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CONTACT INFORMATION:
Your full name: ___________________________________
Spouse's first name: _________________________
Husband Birthdate: __________
Wife Birthdate: ____________
Years Married: ________
Size of Family: ________
Home address:
State:
_________________________
Zip Code: _______________
Home Phone:
_________________________
Work Phone: _________________________
E-mail:
_________________________
Church Name _________________________________
Year of Ordination: ______________________
Denomination _________________________
Average Weekend Attendance ___________
Years in Ministry___________
Your Position __________________
Description of your full time Ministry:
___________________________________________________________________________
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EMERGENCY INFORMATION:
While you are here, who would we contact in case of an emergency: _______________________________________________
PHONE:_______________________
Special Needs: (allergies,
diabetic, vegetarian, etc.) please fully explain.
Food: __________________________________________________________ _________________________________________________________
Other: _________________________________________________________ _________________________________________________________
Please list up to three
choices - by entering 1,2,3 beside each date - of your
preferred dates to visit Genesee Home.
You should plan to arrive on Sunday afternoon and depart mid-day on the
following Friday.
A determination letter will be forwarded within 48 hours of our receipt of your
request.
Pastor's Cost for a Couple for all week including all meals is $395
Please indicated whether your choice of dates or room is most important to you at the end of this form.
When the calendar indicates 1 or 2 rooms available these are usually our queen bedrooms, Garden and Hosselkus. All other dates that are open will have at least three rooms available.
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2008 Dates: |
2008 Dates: |
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June
2008 |
July
2008 |
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August
2008 |
September
2008 |
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October
2008 |
November
2008 |
| December
2008 7 - 12 14 - 19 |
2009
Dates: |
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2009
Dates: |
TRANSPORTATION:
Please tell us how you plan to
arrive for your visit at Genesee Home:
_____Driving
_____By Air into
ROOM CHOICE AND RATES:
A week's visit to Genesee Home costs $ 395. The majority of Genesee Home
expenses are covered by donations in order to reduce the cost passed along to
the Pastors. The cost to you generally reflects only about 1/3 of Genesee
Home's operating costs, and is to cover reimbursement for meals served and
other expenses.
Please list your 1st, 2nd, and 3rd choice of accommodations. (Pictures are
also shown on our website.) We will do our best to honor your choice of room;
however, rooms are assigned on a "first come-first serve" basis.
ROOM
SQUARE FEET AMENITIES
Garden Room 258
Genesee Room 365
Hosselkus Room 321
Meadow Room 426
Parlor Room 417
1st Choice:
___________________________
2nd Choice: ___________________________
3rd Choice:
___________________________
SCHOLARSHIP OPPORTUNITIES
Genesee Home has a limited
number of scholarships available to assist Pastors who are unable to afford the
cost of a visit. Please describe the reasons you desire assistance and the
amount of assistance you are requesting.
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__________________________________________________________________________________________
__________________________________________________________________________________________
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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.
Please tell us briefly what you expect to accomplish while at Genesee Home and why you desire to visit. __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________
Before you submit your request for a visit, please read our Statement of Faith and acknowledge your agreement with its content. Submission of a request by electronic medium constitutes your acknowledgement.
I have read Genesee Home's Statement of Faith and I am in agreement with its content.
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Signature
__________________________________________________________
Printed Name
__________________________________________________________
Date
Comments:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
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Deposits:
1. Within 2 weeks of receiving confirmation of their reservations, guests will be required to pay a $100 deposit. The remaining balance of the guest's portion of the weekly expense must be received 60 days prior to arrival.
2. Guests booking a reservation less than 90 days in advance of their arrival will be required to pay infull within 2 weeks of confirmation of reservation.
Cancellation Policy:
1. Cancellations received 60 days prior to arrival date will receive a full refund of all monies on deposit.
2. Cancellations received 30 to 59 days prior to arrival will receive a 50% refund of all monies on deposit.
3. Cancellations received less than 30 days prior to arrival will forfeit all monies on deposit.
4. However, if the cancelled room is rebooked at any time prior to their scheduled arrival date, 100% refund will be provided.