Women's Retreat Registration Form

Register for our event by filling out the information below:

Name

Email Address

Cell Phone Number

Emergency Contact

Health Concerns

Mobility Concerns

Bedtime (check one)

Early to bed, early to rise

Night Owl

Roomies: (check one)

Surprise me

I request (enter names below)

Food Preferences (i.e. vegetarian, gluten free, etc.?)

Can you drive a carpool?

No, going solo.

No, but I'd like a ride

Yes, me plus

1

2

3

4

I can leave at:

This reserves a spot for you onthe retreat. To complete your registration please put a check in the offering basket in the amount of $150.00, made payable to River Life Church and note Women's Retreat in the memo. So glad you are able to make it!

Additional Information

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