Registration for Those Staying Offsite
March 7-9, 2014
PDF (click on PDF to download and print or copy and paste page to your word processing program.)
REGISTRATION FORM
PLEASE NOTICE THERE ARE SEPARATE FORMS FOR THOSE STAYING AT THE RETREAT CENTER AND THOSE STAYING ELSEWHERE.
Registration form for those staying OFF CAMPUS: Do not mail this registration form before January 15, 2014. I want everyone to have an equal chance at the classes.
Name__________________________________________________________________________
Address_______________________________________________________________________
Phone Number:________________________________________________________________
Email address__________________________________________________________________
I would like to register for the retreat for $25.00 @$25_________________________$________
Below are the numbers and titles of classes I would like to take. Each class is $37.
Friday afternoon #______________________________________________________@$__________
Friday night #______________________________________________________@$__________
Saturday morning #________________________________________________@$__________
Saturday afternoon #______________________________________________@$__________
Sunday morning #____________________________________________________@$_________
I would like to sign up for meals during the retreat. Please list which meals you want, the day and the prices:
Meals for off site registrations: Breakfast $7.75 Lunch $10.00 Dinner $12.50
Friday_______________________________________________________________$_________
Saturday____________________________________________________________$_________
Sunday______________________________________________________________$_________
YOU MUST PAY A DEPOSIT OF $50 WITH YOUR REGISTRATION. This will be applied to your totals. The deadline for final payment is below
Total…………………………………………………………..............................$___________
Your classes must be paid by March 1
VERY IMPORTANT: Please make your check payable to Charlotte Durrence and mail to:
Charlotte Durrence
1208 Hwy 119 South
Springfield, GA 31329
You will not be allowed to change classes after arrival at the retreat center.No exceptions!!! You may, however, sell your class to someone else.
IMPORTANT: Please make a copy of this form for your records before mailing it.
Questions?????
Call me at 912-754-9479 or email me at [email protected]