2017 Women's Retreat Registration Form


[PDF]2017 Women's Retreat Registration Form - Rackcdn.com896973f5b74f19d84c3f-feb97852240a1f00fe9d004c8bfc6523.r7.cf2.rackcdn.com/...

0 downloads 156 Views 17KB Size

2017 Women’s Retreat Registration Form Topic:

“Transitions: Embracing Change in Our Lives”

Speakers:

Pastor Karla Shaw and Lynn Ziegenfuss

Dates:

January 27, 28, 29, 2017

Location:

Pala Mesa Resort, 2001 Old Highway 395, Fallbrook CA 92028

Name: Address: City State Zip: Telephone: Email: To assist us in forming the small groups, please answer the following questions: Age range, circle one: 20’s

30’s

40’s

50’s

60’s

70’s

80’s

Yes____

No, I’ve been ____ times.

90’s

Church Affiliation: Is this your first time at a PLCPC Women’s retreat?

Pala Mesa is a golf resort with ground level rooms & parking outside each room. The cost varies depending on the size of the room. Rooms will be allocated on a first-come, first-served basis. Circle one: 1-person Fairway Room two queen beds:

$400/ person

2-person Fairway Room two queen beds: $255/person

2-person Executive Room two queen beds: $325/person

1-person Executive Room one king bed: $500/person

Checks should be made payable to: Presbyterian Women Please try to arrange your own roommate. If you are unable to arrange your own roommate we will try to assist you, however, the cost will still be determined by the number of women in the room. Requested roommate ____________________________________________________________________ The returned check fee is $8.00. All cancellations must be requested in writing and sent to Nancy Wildman ([email protected]) by Wednesday, December 28, 2016. Committee chairwomen: Ginny Edwards 619-222-4262 [email protected] Dimi Michalek 619-223-7355 [email protected]

Received check #__________ in the amount of $___________ on _____________________________