Registration for Those Staying Onsite
March 7-9, 2014
PDF (click on PDF to download and print or copy and paste 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 at the retreat center: Do not mail this registration form before January 15 ,2014. I want everyone to have an equal chance at the classes.
March 1
Name__________________________________________________________________________
Address_______________________________________________________________________
Phone Number:________________________________________________________________
Email address__________________________________________________________________
I would like to register for the retreat for $25.00 ________________________________________$________
Prices are listed for each day that you plan to spend the night at the Retreat Center. This includes lodging for one night and 3 meals.
Some rooms are upstairs. Let us know if you absolutely cannot walk up the stairs.
Friday night + 3 meals @ $67............................................................................... $_______
Saturday night + 3 meals @ $67.............................................................................. $_______
My preference for a roommate is:______________________________________________
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 #___________________________________________________________@$__________
Sunday morning # ____________________________________________________________@$__________
YOU MUST PAY A DEPOSIT OF $100 WITH YOUR REGISTRATION. This will be applied to your totals.
The deadline for the final payment is March 1
Total……………………………………………………………………………………..............................$___________
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]
Charlotte Durrence