LADIES RETREAT
Registration Form
LADIES RETREAT
Registration Form
Name ________________________________________________
Name ________________________________________________
Address_______________________________________________
Address_______________________________________________
Home Phone _________________________________________
Home Phone _________________________________________
Cell Phone ____________________________________________
Cell Phone ____________________________________________
Email ________________________________________________
Email ________________________________________________
Emergency Contact Name & Phone Number
______________________________________________________
Emergency Contact Name & Phone Number
______________________________________________________
Food Allergies / Health Concerns
______________________________________________________
Food Allergies / Health Concerns
______________________________________________________
Roommate Request
Roommate Request
(please be aware that rooms might have up to four ladies,
(please be aware that rooms might have up to four ladies,
depending on the number who attend) _______________________________________
depending on the number who attend) _______________________________________
TRANSPORTATION:
TRANSPORTATION:
Can you help with carpooling? Yes or No
Can you help with carpooling? Yes or No
If yes, how many passengers can you take? _________________
If yes, how many passengers can you take? _________________
Do you require transportation to Camp Nakamun? _________
Do you require transportation to Camp Nakamun? _________
Registration Fee $175
Registration Fee $175
To reserve your spot, please return this form
along with a $50 non-refundable deposit.
To reserve your spot, please return this form
along with a $50 non-refundable deposit.
Please indicate below which workshops
you would like to register for:
Please indicate below which workshops
you would like to register for:
_______
Prayer and Prayer Journals
_______
Prayer and Prayer Journals
_______
Love One Another Canvas Painting
_______
Love One Another Canvas Painting
_______ Homemade Dips, Rubs & Spice Blends
_______ Homemade Dips, Rubs & Spice Blends
_______ Photo Display Boards (one per person)
_______ Photo Display Boards (one per person)
Please circle one saying to put
onto your Photo Display Board:
Please circle one saying to put
onto your Photo Display Board:
1.
1.
2.
2.
3.
3.
4.
4.