2019 CO Quaker Women's Retreat
Please fill this form out by Monday, March 25.
For more information, visit http://imym.org/womens-retreat
Questions? Write them at end of your form, or email Polly Washburn: polly@distantpeakproductions.com
MAKE SURE YOU HIT SUBMIT AT THE BOTTOM OF THE PAGE. Then you'll be given a link to edit this form if you want.
Email address *
First Name *
Your answer
Last Name *
Your answer
Which Days should we expect to see you? *
What accommodation would you like? *
If you know your roommate(s), please name them here (note that a double is only available if you know who your roommate will be)
Your answer
Which Meals will you be eating at the dining hall?
Breakfast ($8.50)
Lunch ($10.50)
Dinner ($14 - Sat. only)
Do you have dietary restrictions?
Your answer
Interested in carpooling?
What activities are you willing to help with/lead? (morning yoga/tai chi, Sat. night music, creative art, nature hike, other idea)
Your answer
Address Line 1
Your answer
Address Line 2
Your answer
City *
Your answer
Your answer
Zip Code
Your answer
Best Phone #
Your answer
Primary Monthly Meeting
Your payment amount
Scholarship fund / staying less nights / other notes on payment
Your answer
Other notes on registration, or things you'd like to do or offer during the retreat
Your answer
CLICK SUBMIT BUTTON BELOW but please note these details: Write check payable Colorado Regional Meeting / Mail to: Polly Washburn/1100 East 17th Avenue #F302/ Longmont, CO 80504.
A copy of your responses will be emailed to the address you provided.
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