Spring at Peterkin 2025 • Peterkin Camp and Conference Center

Rate for Onsite Lodging 0

Peterkin Retreat Registration Form - Spring at Peterkin 2025

Welcome to Peterkin!

This registration is for Spring at Peterkin 2025, being hosted by Peterkin on April 4th-6th, 2025.

Attendee Information

Attendee First Name *

Phone Number

Mailing Address

Mailing City

Mailing Zip Code

Attendee Last Name *

Attendee Email Address *

Mailing Address Line 2

Mailing State

Food Allergies - Common (Dropdown - select all that apply)

Dietary Preferences *

Food allergies - Other

Other Dietary Preferences *

Peterkin will attempt to meet your dietary preferences, but if you have a very restricted diet, we recommend that you provide some of your own food.

Home Church Name *

Home Church City/State *

Lodging Preferences

Peterkin has two primary lodging options.

Gravatt Hall has individual rooms with one to four beds, including some bunk beds, and shared bathrooms accessed from shared hallways.

The Youth Lodges have rooms containing four bunks/eight beds per room, and bathrooms within each room, along with one room per lodge with one set of bunks.

Peterkin, to the extent possible, will attempt to meet your room preference, though this may not be possible, depending on the number of attendees.

For adult conferences, some attendees prefer to stay off-sight and come to camp for the daily activities. Options for this include:

Koolwink (approx. 6 miles/11 minutes from Peterkin): 304-822-3595 www.koolwink.com

South Branch Inn Romney (approx. 8 miles/15 minutes from Peterkin): 304-822-2444 www.southbranchinn.com

Please Select Your Lodging Preference *

Please list names of other attendees with whom you wish to share a room:

General Disclaimer:

I give my permission for my full participation in events associated with Peterkin Camp and Conference Center, including but not limited to trail hiking and campfire activities. I give my permission for photographs or video footage of me to be used by The Diocese of West Virginia and Peterkin Camp and Conference Center for promotional purposes (brochures, on diocesan websites, promotional videos, Facebook groups, YouTube, etc). I agree to hold the Diocese of West Virginia, Peterkin Camp and Conference Center, and any associated agencies and persons harmless and waive any claims for payment for accident, injury, disability or damages to my person or property arising out of or connected with my participation in any activity related to the aforementioned activity. I accept that possession or use of banned substances at camp may result in punishment including but not limited to expulsion from Peterkin without refund and/or notification of law enforcement.

Click to Agree *

I agree

I do not agree

Rate for Offsite Lodging 0

Peterkin Retreat Registration Form - Spring at Peterkin 2025

Welcome to Peterkin!

This registration is for Spring at Peterkin 2025, being hosted by Peterkin on April 4th-6th, 2025.

Attendee Information

Attendee First Name *

Phone Number

Mailing Address

Mailing City

Mailing Zip Code

Attendee Last Name *

Attendee Email Address *

Mailing Address Line 2

Mailing State

Food Allergies - Common (Dropdown - select all that apply)

Dietary Preferences *

Food allergies - Other

Other Dietary Preferences *

Peterkin will attempt to meet your dietary preferences, but if you have a very restricted diet, we recommend that you provide some of your own food.

Home Church Name *

Home Church City/State *

Lodging Preferences

Peterkin has two primary lodging options.

Gravatt Hall has individual rooms with one to four beds, including some bunk beds, and shared bathrooms accessed from shared hallways.

The Youth Lodges have rooms containing four bunks/eight beds per room, and bathrooms within each room, along with one room per lodge with one set of bunks.

Peterkin, to the extent possible, will attempt to meet your room preference, though this may not be possible, depending on the number of attendees.

For adult conferences, some attendees prefer to stay off-sight and come to camp for the daily activities. Options for this include:

Koolwink (approx. 6 miles/11 minutes from Peterkin): 304-822-3595 www.koolwink.com

South Branch Inn Romney (approx. 8 miles/15 minutes from Peterkin): 304-822-2444 www.southbranchinn.com

Please Select Your Lodging Preference *

Please list names of other attendees with whom you wish to share a room:

General Disclaimer:

I give my permission for my full participation in events associated with Peterkin Camp and Conference Center, including but not limited to trail hiking and campfire activities. I give my permission for photographs or video footage of me to be used by The Diocese of West Virginia and Peterkin Camp and Conference Center for promotional purposes (brochures, on diocesan websites, promotional videos, Facebook groups, YouTube, etc). I agree to hold the Diocese of West Virginia, Peterkin Camp and Conference Center, and any associated agencies and persons harmless and waive any claims for payment for accident, injury, disability or damages to my person or property arising out of or connected with my participation in any activity related to the aforementioned activity. I accept that possession or use of banned substances at camp may result in punishment including but not limited to expulsion from Peterkin without refund and/or notification of law enforcement.

Click to Agree *

I agree

I do not agree

Retreat Staff/Chaplains 0

Peterkin Retreat Registration Form - Spring at Peterkin 2025

Welcome to Peterkin!

This registration is for Spring at Peterkin 2025, being hosted by Peterkin on April 4th-6th, 2025.

Attendee Information

Attendee First Name *

Phone Number

Mailing Address

Mailing City

Mailing Zip Code

Attendee Last Name *

Attendee Email Address *

Mailing Address Line 2

Mailing State

Food Allergies - Common (Dropdown - select all that apply)

Dietary Preferences *

Food allergies - Other

Other Dietary Preferences *

Peterkin will attempt to meet your dietary preferences, but if you have a very restricted diet, we recommend that you provide some of your own food.

Home Church Name *

Home Church City/State *

Lodging Preferences

Peterkin has two primary lodging options.

Gravatt Hall has individual rooms with one to four beds, including some bunk beds, and shared bathrooms accessed from shared hallways.

The Youth Lodges have rooms containing four bunks/eight beds per room, and bathrooms within each room, along with one room per lodge with one set of bunks.

Peterkin, to the extent possible, will attempt to meet your room preference, though this may not be possible, depending on the number of attendees.

For adult conferences, some attendees prefer to stay off-sight and come to camp for the daily activities. Options for this include:

Koolwink (approx. 6 miles/11 minutes from Peterkin): 304-822-3595 www.koolwink.com

South Branch Inn Romney (approx. 8 miles/15 minutes from Peterkin): 304-822-2444 www.southbranchinn.com

Please Select Your Lodging Preference *

Please list names of other attendees with whom you wish to share a room:

General Disclaimer:

I give my permission for my full participation in events associated with Peterkin Camp and Conference Center, including but not limited to trail hiking and campfire activities. I give my permission for photographs or video footage of me to be used by The Diocese of West Virginia and Peterkin Camp and Conference Center for promotional purposes (brochures, on diocesan websites, promotional videos, Facebook groups, YouTube, etc). I agree to hold the Diocese of West Virginia, Peterkin Camp and Conference Center, and any associated agencies and persons harmless and waive any claims for payment for accident, injury, disability or damages to my person or property arising out of or connected with my participation in any activity related to the aforementioned activity. I accept that possession or use of banned substances at camp may result in punishment including but not limited to expulsion from Peterkin without refund and/or notification of law enforcement.

Click to Agree *

I agree

I do not agree