2019 Belton Church of Christ Women's Fall Retreat Registration
November 8-10, 2019 (Friday-Sunday)
North Texas Jellystone Park in Burleson, Texas (~90 minutes from Temple)
https://www.northtexasjellystone.com/

$140/Person
Includes 2 night Stay (Check in Friday - arrive at your time of choosing between 3 and 8 PM)
Friday - Dinner on your own (evening snacks will be available)
Saturday - Breakfast, Lunch, Dinner included
Sunday - Brunch included

Personal Information
Name *
Your answer
Email (please double-check for typos) *
Your answer
Phone Number (please double-check for typos) *
Your answer
Room Preference
There are three room options available. See descriptions below and rank in the order of your preference with #1 being the room you want the most.
***Please check no preference in each row if you have no preference.***

ONE BEDROOM LOFT:
1 queen bedroom, 1 bunk bed set, 1 pull-out couch, 2 queen beds in upstairs loft with narrow/steep stairs
https://www.northtexasjellystone.com/homestead-cottages/

TWO BEDROOM LOFT:
2 queen bedrooms, 3 queen beds in upstairs loft with narrow/steep stairs
https://www.northtexasjellystone.com/ulrich-2-bedroom-cabins/

HOTEL STYLE ROOM:
2 queen beds, 1 bunk bed set
https://www.northtexasjellystone.com/premium-luxury-cottages/

*
One bedroom loft
Two bedroom loft
Hotel style room
No preference
#1 Room Preference
#2 Room Preference
#3 Room Preference
Roommate Preferences (4/room) *
Your answer
Dietary Restrictions
Dietary Restrictions *
Required
Financial Assistance
If you are in need of financial assistance, please list amount requested below. (Cost = $140/person)
Your answer
If you are willing to provide a scholarship to assist those in financial need, please list amount below. (Cost = $140/person)
Your answer
Half of the payment ($70) is due Sunday, 9/1, with the remaining half ($70) due Sunday, 9/22. Cash or checks can be given to Sydney Kutter or the church office. Please make checks payable to Belton Church of Christ with a memo for "2019 Women's Fall Retreat."
Other Questions / Concerns
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