Sandy Island Registration
Use this form to register for the 12th Annual Sandy Island Retreat, September 16-18, 2016

This year's cost:
Adults: $170
Children and Youth (4-17): $90
Children 3 and under: free

There is financial assistance available upon request. Please contact the church administrator
Janice Zazinski: email: jzazinski@uubelmont.org / phone: 617-484-1054 ext. 201

Please send 50% deposit after registering. The full amount is due August 15.

Checks are payable to: First Church in Belmont
send to: Ariane Frank, 179 Oakley Rd. Belmont, MA 02478

Questions?
email:
Ariane Frank and Martin Plass at
fellowship@uubelmont.org


Sign in to Google to save your progress. Learn more
Contact First Name *
Contact Last Name *
Home Phone *
Cell Phone *
Email *
How many adults in your party (including yourself)? *
children age 3 - 17? *
children under 3 *
Please list all names of participants and ages of children
Friday Ferry Times *
pick one
Sunday Ferry *
pick one
Volunteer Sign Up!!
I can...
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms