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2017 ML Summer Retreat Registration
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Retreat Information
Friday, June 16, 2017 to Sunday, June 18, 2017
Refreshing Mountain
Guest Speaker: Dr. Steve Lee
Early Bird Registration Deadline: Sunday, May 21, 2017
Your Information
Last Name, First Name
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Your answer
T-Shirt Size
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S
M
L
XL
XXL
[Spouse] Last Name, First Name
Your answer
[Spouse] T-Shirt Size
Choose
S
M
L
XL
XXL
Email Address
*
Your answer
Phone Number
*
Your answer
Registration Fee Information:
Early Bird Registration Fee (Deadline is Sunday May 21, 2017)
- Adult: $120/per person - Child (2 yo and up): $30/per person
Registration Fee (After Sunday May 21, 2017)
- Adult: $130/per person - Child (2 yo and up): $40/per person
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Method of Payment
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Pay by cash or check to GCC
www.paypal.com (send payment to paypalmainline@gracecovenant.net, using friends/family option)
N/A - I am a volunteer/GCC staff
Transportation
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Yes, I need transporation
No, I do not need transportation
Children Registration
[Child 1] Name and Age
Your answer
[Child 1] Allergies (if any)
Your answer
[Child 2] Name and Age
Your answer
[Child 2] Allergies (if any)
Your answer
[Child 3] Name and Age
Your answer
[Child 3] Allergies (if any)
Your answer
[Child 4] Name and Age
Your answer
[Child 4] Allergies (if any)
Your answer
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