Compassion in Action: The Joy of Service / with David Chernikoff on Saturday October 17th

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Saturday October 17, 2015, 8:30 a.m. - 4:30 p.m.
Bring a sweater or shawl and / or cushions to manage your comfort. Also consider bringing a notebook [paper and pens will be provided if you forget]. A limited number of partial scholarships are available. You may apply below on this form.

Registration is limited to 50 souls due to the size of the facility.
Cost is $50/person which includes:
- Lite Breakfast - Lunch - Snacks and Beverages - Childcare available details below.

Registrations are not complete until payment is received.

Questions? -Call Larry LaVerdure (720) 985-3375 in the evening
or e-mail Larry.LaVerdure@gmail.com anytime with the subject line "October 17th Retreat"
or call the BVUUF office 303-665-4280.

This form does not mail you a confirmation automatically. Larry will do that as soon as time permits.

To that end: PLEASE MAKE SURE YOUR EMAIL AND PHONE NUMBER ARE CORRECT.

Thanks for your patience.

First Name *

Last Name *

Address - Street *

Address - City, State *

Address - Zip Code *

Email #1 *

Email #2

Phone #1 *

Phone #2

Childcare requested

Parents can visit with children during lunch as childcare will be onsite.

Infant under 2 years old

Toddler, 2 - 3.5 years old

Child 3.5- 10 years old

My teenager can help provide childcare for pay

Don't need childcare, thank you.

Other:

Dietary requirements *

Select all that apply. Menu items are listed below from our vendor: Eats & Sweets

No restrictions

Gluten Free

No Dairy

Vegan

Vegetarian

No Eggs

Other:

Required

Registration: Deadline - 50 paid registrations or October 17th at the door whichever comes first. *

- $50 per person - Make Checks Payable to "BVUUF" and on the Memo line write: "October 17th Retreat" - Mail to: BVUUF ATTN: Retreat Registrar, 1241 Ceres Drive, Lafayette, CO 80026 - If you want an email when we reach or exceed 40 paid-up registrations also check the "Send me an Email" option below.

Mail Check to Office (address above): Make sure check reaches us before the 17th.

Bring Check to BVUUF on Sundays between services or when office staff are present during the week.

Leave Envelope labeled "Attn: Retreat" with Check in it, in Carol Pranschke's mailbox in the copier room.

Send me an email when there are 40 paid-up registrations

Other:

Required

Lunch Menu *

Sandwiches include lettuce, cheese and mayo, tomatoes standard. Please select just ONE of the Main Sandwich options and use the Other choice to select bread choices which are: Whole Wheat, Gluten Free, Standard and you can also select or deselect condiments.

Turkey Sandwich

Chicken Sandwich

Spiced Tofu

Black Forest Ham

PB& J "Peanut Butter n Jelly"

I'll bring my own lunch.

Mayo

Mustard

Both Mayo and Mustard

Butter

Non-Dairy spread

Other:

Required

Scholarships

Select the amount that you can pay for this retreat below:

$40

$30

$25

$20

$15

$10

I will help with lunch and clean up.

Clear selection

Help us out...

If you would like to help us out to keep our cost down and make the day easier for everyone please sign up below. If you are donating snacks please use the other choice to say what you'll be bringing so we don't buy it.

Early Birds: Make coffee and set out breakfast items

Help keep snack tables clean and well stocked.

Help ahead of time with clerical / shopping?

Donate snacks.

Help with lunch set up.

Help with clean up.

Other:

Submit

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