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First name
Last Name
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Allergies
Nut Free
Gluten Free
Dairy Free
Vegetarian
Vegan
Other
Disabilities or medical conditions
Registration Options
Two nights (Friday night - Sunday morning)
Friday night & Saturday session (no overnight)
Driving Options
Yes, and I’m willing to drive
Yes, but I’m not able to drive
No, I will make my own transportation arrangements
For Overnight Guests Only
Room selection (Bathrooms are shared between two rooms.)
One Person Room - Twin (lower bunk)
Two Person Room - Full & Twin (lower bunk)
Three Person Room - Full & Bunk bed (upper and lower bunks)
No preference
RoomMate Name(s) – Or specify no preference
I’m willing to sleep on a top bunk, if needed
Yes
No
Do you wish to rent linens (pillow case, sheets, bath towel & wash cloth)?
Yes for an additional charge of $10
No, I will bring my own linens
Payment Method
Select your payment method...
Cash (mail or deliver to church office, attention to Jamie Watkins)
Check (mail or deliver to church office, attention to Jamie Watkins)
Credit Card (Select the “Pay Online” button below, prior to submitting this form and select “Women’s Fall Retreat” option from the “Fund” drop down)
Registration Fees:
$185 overnight & $80 Fri night/Saturday. Half of the registration fee is due upon registration. Remaining balance due by 9/13/24.
Scholarship Opportunity:
Scholarships are available upon request. If financial assistance is needed, please contact Jamie Watkins at jambwat@gmail.com
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