IBC Ladies Retreat
Fill out the form below to attend the IBC Ladies Retreat, January 18-19, 2019. Please be sure to follow the link at the bottom to pay the registration fee. Shirt registration deadline January 2nd, 2019; deadline for no shirt ordered will be January 11, 2019.
Cell Phone Number:
Can we send you text messages?
Registration, no shirt ($50)
Registration, with a shirt ($70). Deadline January 2, 2019.
If you choose to purchase a sweatshirt, what size do you need?
Please indicate transportation to Falls Creek: (Departure time: 5:30pm, Jan 18th)
I will ride the IBC van or bus
I will drive my own vehicle
Will ride to retreat with someone. Will ride home on van or bus.
Special Concerns: (Including request for 1st floor room)
Please let us know how you will pay.
Will you pay online or in the office?
Check or cash (shirt 70.00 or no shirt included 50.00)
Online (shirt 72.10, no shirt included 51.50)
IN CASE OF EMERGENCY
Please fill out all emergency contact information below:
Emergency Contact Name:
Emergency Contact Phone:
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Immanuel Baptist Church.
Terms of Service