ACH - Retreat 2019 - REGISTRATION FORM
Friday, March 8 at 4pm until Sunday, March 10, 2019 at 1pm
Separate Services in English and Arabic (with translation) - Programs for all ages.
Some very limited financial scholarships available when requested.
LOCATION: Camp Allen(18800 FM 362, Navasota, TX 77868) which is about 50-60 miles North West of Houston.
MORE INFORMATION ON OUR WEBSITE at https://www.achouston.org/events/retreat/
FIRST PERSON *
Last Name, First Name
Your answer
Check the rate that will apply to the above person: *
Adult=$200 College Students=$175 Middle School / High School (12-17)=$150 Elementary (6-11)=$100 Pre-School / Kindergarten (1-5)=$50 Babies <1 no childcare
Required
SECOND PERSON
Last Name, First Name
Your answer
Check the rate that will apply to the above person:
Adult=$200 College Students=$175 Middle School / High School (12-17)=$150 Elementary (6-11)=$100 Pre-School / Kindergarten (1-5)=$50 Babies <1 no childcare
THIRD PERSON
Last Name, First Name
Your answer
Check the rate that will apply to the above person:
Adult=$200 College Students=$175 Middle School / High School (12-17)=$150 Elementary (6-11)=$100 Pre-School / Kindergarten (1-5)=$50 Babies <1 no childcare
FOURTH PERSON
Last Name, First Name
Your answer
Check the rate that will apply to the above person:
Adult=$200 College Students=$175 Middle School / High School (12-17)=$150 Elementary (6-11)=$100 Pre-School / Kindergarten (1-5)=$50 Babies <1 no childcare
FIFTH PERSON
Last Name, First Name
Your answer
Check the rate that will apply to the above person:
Adult=$200 College Students=$175 Middle School / High School (12-17)=$150 Elementary (6-11)=$100 Pre-School / Kindergarten (1-5)=$50 Babies <1 no childcare
If there are other persons that need to be added, please use a new form. For the time being please, type in below the $ amount you will owe for the names you entered above: *
Your answer
Would you like to give an extra donation to help with the retreat expenses and to provide scholarships for those who cannot afford it? *
Check below ALL your preferences. *
Due to our contract with the camp, your registration is NOT complete and your reservation is NOT garanteed until we receive either the full payment or a certain down payment per person. You can pay by cash at the church or check to: ACH 3403 Cartwright Road, Missouri City, TX 77459 or by credit card by going to the retreat page on our website under ministries. The "Pay Registration Fee" button is at the bottom right. For now, PLEASE INFORM US OF YOUR METHOD OF PAYMENT AND CHECK ALL THAT APPLY BELOW:
Required
Name of person filling this form *
Your answer
Email *
Your answer
FULL address WITH ZIP CODE please *
Your answer
Cell phone number *
Your answer
We are so glad you are coming! Please visit our website to pay AFTER you submit this form
For questions or more information, email us at info@achouston.org or call 281-403-0434 - Programs as they become available will be posted on our website. All payments may be made on our website at http://www.achouston.org/give AFTER you click the SUBMIT button below
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