UU Womyn Registration Form
Retreat fee is $170 ($125 for ages 14-25). Register by September 10, 2019 to receive event Tshirt.Full fees must be paid at the time of registration. Please make checks payable to the First UU Congregation of Ann Arbor and write “2019 Womyn’s Retreat” in the memo space. Several ways to pay: 1) Credit Card (click on the payment link in the registration confirmationg message) 2) Check or Cash (at Womyn’s Community Social Hall Table or mail to (4001 Ann Arbor-Saline Rd., Ann Arbor, MI 48103) with your completed registration form.
Email address *
UU Womyn's Retreat 2019
Name
Address
City, State, Zipcode
Daytime Phone
E-Mail
Emergency Contact Name and Phone
Morning Session Top 2 Choices
Afternoon Session Top 2 Choices
T-shirt size
Special Diet
More Info
Items that you would like sell at Womyn's Ware Buffet
If requesting scholarship, I can pay ....
Amount you would like to contribute to scholarship fund (if any)
I'd like to pay the extra fee to do the:
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. - Terms of Service