We will have chidcare available on Saturday morning (9:30 to noon) for children under the age of 3.  We are offering programs on Saturday for kids over the age of 3.  Toddlers and preschoolers (3 to 5)  will remain close to the pavillion and will be returned to their parents at lunch time (9:30 to noon).  Elementary school and middle school aged children have a longer program (9:30 to 3:30) that will include a hike away from the pavillion area.  At 3:30, they will return to their parents.  

If children or teens you are registering have a different last name than yours, please include it.

If you are registering children or teens, please provide the additional requested information toward the end of this form.  Thanks.

To help with planning, please let us know if you want to camp at Pine Song.   Regardless of whether you are in a tent  or in an RV, there are no hookups except for electrical to support medical devices.

Availability is on a first-come, first-serve basis.  Camping sites are available AFTER 3:00 p.m. on Friday, July 12.  

Pine Song is close to Vallecito Lake, which has numerous types of lodging and camping (with hookups) available. For information about RV parks and lodges, click here.  For information about Forest Service campgrounds, click here.  

My submission of this form is my permission for the child(ren) under the age of 18 that I am registering to participate in the planned events for children and teens during the Pine Song Retreat.

This permission may include hikes or excursions under the supervision of retreat staff and volunteers that go outside the boundaries of the Pine Song property, 

I acknowledge this is an outdoor environment with the inherent risks associated with camping and hiking.

Children may be photographed during the Pine Song retreat; this permission includes UUFD being able to use these images on the UUFD website, social media outlets, or newsletters.  If i opt out, UUFD will do its best to ensure no overtly recognizable images of my chaild(ren) are used.  

Toddler and pre-school children will be participating in Pine Song activities on Saturday from 9:30 to noon; at that time, they go back to the care of their parents. 

Older children and teens will be participating in Pine Song Retreat activities on Saturday  from  9:30 a.m. through 3:30 p.m. 

During all other times, children and teens will be under the supervision of their accompanying adult(s).  Outside the hours listed above, staff and volunteers ARE NOT ON DUTY AND ARE NOT RESPONSIBLE  for children and teens.

For each teen or child you have registered, please provide the following information:

(you may copy and paste this info into the box(es) below for each child)

Their preferred name _____________________
Pronouns ______________________________
The date of birth ________________________
The 2024-25 grade (or preschool) ____________
Food or other allergies (if none, specify none) _______
Dietary restrictions (if none, specify none) __________
Any medical conditions (such as asthma or hearing loss) 
_____________________________________________
Outdoor activities your child especially likes __________
Other activities your child especially likes ____________
What else should we know about your child so we all have a good time (shyness, hyperactivity, phobias, difficulty reading, and so on) _______________________________
Is there anything else we need to know to ensure your child's safety? ___________________________________

If you are paying by check, please manually add the number of adults and any teens being registered; complete your check in that amount. Adults are $75.00 each and teens are $25.00 each.

The address for mailed / delivered payments. 

UUFD
435 San Juan Drive
Durango CO  81301