Women's Retreat Registration

We're excited for the 2018 Retreat! Our theme is "Chosen" and we've got a great guest speaker, Sarah Bolthouse, coming to share with us about this topic! The retreat is May 4-6, 2018 at Camp Elim. Early Registration ends on April 2.

Name: *
First Name
Last Name
Phone Number:*
Email Address:
Home Address: *
Address Line 1
Address Line 2
Postal Code
Emergency Contact Person: *
First Name
Last Name
Emergency Contact Number:*
Do you currently attend Valley View?
What is your Age? *
List the friends that you would like to room with:
Nursing babies are welcome to join their mamas. Will you be bringing your nursing baby?
Are you interested in carpooling?*
If yes, as a:
If yes, what time will you be leaving?
Will you sleep on the top bunk?*
What time do you like to go to bed?
Please select the statement that most reflects your bedtime routine:
How early do you get up in the morning?
Do you have any food allergies? *If yes, you will receive an email from the Camp Elim kitchen so that they can serve you well at the retreat.*
Do you want to purchase a T-Shirt? The cost will be $10-15*
If yes, what Size T-Shirt?
Early Registration ends April 2! After April 2 the price raises to $155.
Choose One: *
Choose which payment option you'll use: *If purchasing a t-shirt, include that in your registration payment. *

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