Beach Retreat 2018
Please out this form to register for Beach Retreat 2018.

Beach Retreat is September 14-16, 2018 in Sandbridge, Virginia Beach. The cost to participate is $25. If the price is an issue, please contact our CCM Director, Marissa O'Neil.

Please bring payment ($25 cash or check) to Marissa O'Neil at the CCM House or a CCM event!

Name *
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Email Address *
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Phone Number *
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Sex *
Tshirt Size *
Dietary Needs *
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Allergies *
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Emergency Contact Name *
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Emergency Contact Relation *
Emergency Contact Number *
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Do you have a car and are willing to drive to Beach Retreat? *
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