2017 CCFC Marriage Retreat Registration
Saturday, April 22, 2017
9:00 am - 4:00 pm
Location: Reservoir Church
Address: 170 Rindge Ave., Cambridge, MA 02140

Website for how to get there:
http://www.reservoirchurch.org/visit/directions-parking/

Wife's First and Last Name *
Your answer
Wife's email: *
Your answer
Wife's phone:
Your answer
Husband's First and Last Name: *
Your answer
Husband's email: *
Your answer
Husband's phone:
Your answer
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Date of Marriage (please enter it as "Month Date, Year" e.g. December 25, 1977) *
Your answer
Do you need childcare? *
Required
For childcare, 1st Child's Name:
Your answer
1st Child's Birth Date (please enter it as "Month Date, Year" e.g. December 25, 1977) *
Your answer
For childcare, 2nd Child's Name:
Your answer
2nd Child's Birth Date (please enter it as "Month Date, Year" e.g. December 25, 1977)
Your answer
For childcare, 3rd Child's Name:
Your answer
3rd Child's Birth Date (please enter it as "Month Date, Year" e.g. December 25, 1977)
Your answer
Food Allergies (please specify who has which food allergies): *
Your answer
The retreat will be at Reservoir Church, 170 Rindge Ave., Cambridge, MA 02140
How to get there? A 10-min walk from the Davis Sq T station or the 83 bus will drop you off in front of the church. Parking is available. Please check if applicable:
Comments:
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Payment: *
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