CCIC Mountain View Church Retreat Registration Form
Registration Fee:
Early bird (6/10-7/1) Per person $110 (13+ years) or $55 (4-12 years); maximum per family $275
Regular (7/2-7/22) Per person $130 (13+ years) or $65 (4-12 years); maximum per family $325

報名费:
6/10-7/1: 每人$110 (>13歲) 或 $55 (4-12歲);$275 (家庭)
7/2-7/22: 每人$130 (>13歲) 或 $65 (4-12歲);$325 (家庭)

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English Name 英文姓名 *
Your answer
Chinese Name 中文姓名
Your answer
Phone Number 電話 *
Your answer
Email address 電郵 *
Your answer
Gender 性别 *
Required
Congregation *
Lodging 住宿 *
Required
Meals 用餐 *
Required
Other notes 特别需要
need ride/can provide ride (specify how many), allergies, immobility, senior (above 80 years old)
Your answer
Adult #2 English Name 英文姓名
Your answer
Adult #2 Chinese Name 中文姓名
Your answer
Adult #2 Gender 性别
Adult #2 Congregation
Adult #3 English Name 英文姓名
Your answer
Adult #3 Chinese Name 中文姓名
Your answer
Adult #3 Gender 性别
Adult #3 Congregation
Adult #4 English Name 英文姓名
Your answer
Adult #4 Chinese Name 中文姓名
Your answer
Adult #4 Gender 性别
Adult #4 Congregation
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