Equipping Retreat Registration Form

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Last Name *

First Name *

enter both names if registering as a couple

Email *

Phone *

Registration Fee *

Please bring all payment with you on the retreat. There will also be the additional ferry cost which will be shared in each vehicle.

$60 for one person registering.

$120 for two people registering.

Do you need scholarship help? If so, how much money would make the difference?

Are you capable of contributing a little extra to help with scholarships? If so, how much?

Do you have any allergies that we should be aware of?

Emergency Contact *

Emergency Phone *

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