Register for the Women's Retreat / April 26-27
Please register by April 22 so that we may have "all things ready" for this special day.
Email address *
Questions? Contact:
Levenia KIbler
Levenia@verizon.net
(703) 471-1108
(703) 380-3281 (text)
Participant Information
Name *
Your answer
Address *
Your answer
Phone
Your answer
Cell Phone (for texts) *
Your answer
Food allergies? *
Your answer
The retreat will be held Friday evening and approximately a half day on Saturday. Attend one session or both. Specific times and more information will be sent via email as the retreat dates approach.
Will you attend? *
Do you need childcare? *
Required
Name(s) and age(s) for childcare:
Your answer
Payments
Payments should be made to HUMW. You may pay online at http://bit.ly/2sz4LVS. A link will be included in your confirmation email.

Or, checks addressed to HUMW may be delivered or mailed to the church office. They may also be mailed or given to Levenia Kibler at 653 Spring Street, Herndon VA 20170.

A copy of your responses will be emailed to the address you provided.
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