Hills Church Guys' Getaway | moMENtum | October 20-22, 2017
Registration Deadline is Sunday, Oct 8.
Payment due at time of registration.
Pay online at http://www.easytithe.com/hillschurchoc (Event Registration: Mens Retreat)
Or mail or bring check to:
Hills Church - 27831 La Paz Rd - Laguna Niguel CA 92677
Email address *
First Name *
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Last Name *
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Address *
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City *
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ST *
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Zip Code *
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Home Phone (ex: 555-555-1234) *
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Cell Phone (ex: 555-555-1234) *
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Email
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Emergency Contact: Name *
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Emergency Contact: Phone *
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Would you like to carpool? *
Are you willing to drive your vehicle? *
Do you understand that your personal health insurance will be used as primary coverage should you be involved in an accident? *
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I understand that my payment is due upon completion of this form *
If you are not making payment online via PayPal, please bring a check and place it in the offering basket.
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The best departure time for me from OC to the retreat is...
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