2019 Embrace Fall Retreat Registration Form
Friday, Sept. 27 - Sunday, Sept. 29
4-H Educational & Conference Center
600 4h Center Dr, Front Royal, VA 22630
Payment must be received by the due date
Sunday, August 18 - $85/person
Sunday, September 8 - $95/person
Children - $15/child
// PAYMENT OPTIONS
Check (please make it out to "Embrace Ministry")
Please give cash and check payments to Shelley or Allan
Emergency Contact Phone Number (Name and Phone Number)
Any food allergies (Please list below)?
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