Waking up Together: The Heart of Communication / with David Chernikoff on Saturday December 10

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Saturday December 10, 2016, 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 - Snacks and Beverages - Bring a bag lunch - Childcare available details below.

Registrations are not complete until payment is received.

Questions? -Call Larry LaVerdure (720) 985-3375 in the evening
or -mail Larry.LaVerdure@gmail.com anytime with the subject line "Dec 10 Retreat"
or call the BVUUF office 303-665-4280.

THIS FORM DOES NOT EMAIL YOU A RESPONSE. 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 - City *

Email #1 *

Email #2

Phone #1 *

Phone #2

Childcare requested *

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

Don't need childcare, thank you.

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

Other:

Required

Registration: Deadline - 50 paid registrations or Dec 10 at the door whichever comes first. *

- $50 per person - Make Checks Payable to "BVUUF" and on the Memo line write: "Dec 10 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 10th.

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

Leave Envelope labeled "Attn: Retreat" with your check in it, in the Office Manager's mailbox in the copier room.

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

Other:

Required

Scholarships

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

Paying $40 - I'm getting a 20% discount

Paying $30 - I'm getting a 40% discount

Paying $25 - I'm getting a 50% discount

Paying $20 - I'm getting a 60% discount

Paying $15 - I'm getting a 70% discount

Paying $10 - I'm getting an 80% discount

Paying $5 - I'm getting a 90% discount

Paying $0 but I'll arrive at 8:00 and leave at 5:00 to help out.

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 clean up.

Other:

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