2017 Women's Retreat Registration
St. Ann's Women's Retreat - The DeKoven Center, 600 21st Street, Racine, WI

DATE: Friday, September 22 through Saturday, September 23, 2017

IMPORTANT: Please sign up via this form, even if you signed up in the Parish Hall. THANKS.

Theme: "Transitions and Transformations: Walking Faithfully Through Change"
Facilitator: The Rev. Liz Meade, Rector, St. David's Episcopal Church, Aurora, IL

Registration and Payment Deadline: Sunday, September 3rd, 2017.
All registrations are subject to payment by this deadline.
Make checks payable to St. Ann's Episcopal Church, 503 W. Jackson, Woodstock, IL 60098. Thank you.

Plan to arrive between 4:00pm and 6:30pm Friday night (9/22/16).
We will finish in the afternoon on Saturday (9/23/16).
Contact Vicky Tusken, 630-947-2403 or vtusken@gmail.com, with questions.

The DeKoven Center -- http://www.dekovencenter.org/

PLEASE, fill out a registration form for EACH person. Thank you.

Email address *
Name (First and Last) *
Please fill out a separate registration form for each person.
Your answer
Phone Number (enter area code plus phone number, with dashes between) *
Best phone to reach you
Your answer
E-Mail Address *
Best email to reach you, personally
Your answer
What kind of room? (Payment to St. Ann's required via check or cash by Sunday, 8/27/16) *
Single or Double Occupancy. (select one)
IF you selected a Double room - Enter first and last name of person with whom have you made arrangements to share (if you have).
IF you selected a Double room and have NOT talked with someone about being your roommate, just leave this blank - a roommate(s) from our group will be assigned.
Your answer
Any questions or comments you may have . . .
Your answer
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 St. Ann's Episcopal Church. Report Abuse - Terms of Service - Additional Terms