Ladies' Retreat 2019 Registration
February 22-24

North Texas Jellystone Park
2301 S. Burleson Blvd.
Burleson, TX 76028

Last Name *
Your answer
First Name *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Church You Attend
Your answer
Retreat Options
Overnight prices include both Friday and Saturday nights, plus breakfast, lunch and dinner Saturday
Choose Your Registration Option *
Pre-Order a NYA Ladies' Retreat T-shirt for $10 more (optional)
How do you intend to pay? (Deadline: Jan. 20) *
Roommate Request (Requests will be accommodated as well as possible)
Your answer
Other important information (food allergies, special accommodations, etc.)
Your answer
Do you need us to arrange transportation for you?
What is your favorite hymn or worship song?
Your answer
Are you willing to do any of the following?
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