Spring Retreat Registration


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Spring Retreat Registration April 16-17, Lake Williamson, Il ATTENDEE Name Address Email Phone Age Group

(c) 18-29

30-39

40-49

50-59

60+

Allergies Emergency Contact

ROOMING Single Occupancy

$95 / person by March 13th

Double Occupancy $85 / person by March 13th 3 or more

$80 / person by March 13th

Roommate Request Please find me a roommate! Early to bed is me!

Or I’m a late night talker!

* Rooms are motel style (linens included, max 4 in a room-2 dble & 2 bunks)

TRANSPORTATION _____ I will be driving myself and not participating in the church carpool _____ Yes, I will ride with the carpool ____ I can be a driver to the retreat