Women’s Retreat 2007 Registration Form: June 29 - July 1

I don’t want to miss out, please sign me up!

Grab a form from church (found in the brochure) or send in your own with the following information. I’d love to see you there!

$50 deposit (at a minimum) must accompany form.

Date:
Name:
Address:
Phone Number:
Email Address:
I’m including my check for:
__ Deposit of $50 for lodge room.
__ Deposit of $50 for cabin room.
__ Full payment of $150 for a lodge room.
__ Full payment of $125 for a cabin room.
__ Other _____________________
__ Scholarship. List $ amount & person:

__ I need a handicap accessible room.
__ If in a cabin, list cabin # preference. ____________

I’m interested in carpooling as a:
__ Driver.
__ Passenger.
I have spoken to someone about being my roommate.
__ No.
__ Yes. If yes, list the name(s):

I have special dietary needs which are: