NLCC Retreat April 2017 Registration Form
New Life Community Church (NLCC) is having its church retreat April 7-9, 2017 at Redwood Christian Park in Boulder Creek, California! Fill out the form below to register and reserve your spot.

Your registration will be considered complete ONLY once the below form is filled out AND your registration fee has been received online (http://newlifesj.org/giving ; select "Retreat Registration.").

Adult registration fees are as follows:

--Up through March 1 (early bird registration): $120 per person
--March 2-31 (regular registration): $140 per person
--April 1 or later (late registration): $160 per person
--**Full-time students qualify for a $40 registration discount.**

Child (ages 4-12) registration fees are as follows:

--Up through March 1 (early bird registration): $60 per person
--March 2-31 (regular registration): $70 per person
--April 1 or later (late registration): $80 per person

Children ages 3 and below register for free.

Please note the following:

--Each married couple will be housed together in a private room.
--An equipped nursery facility will be provided. However, staffed childcare will *not* be provided.
--If you require financial assistance in order to go on the retreat, please contact Ryan Wong (rwong@newlifesj.org).
--If you have special registration needs (e.g. partial retreat attendance), please contact Amos Yang (ayang@newlifesj.org).
--NLCC and its leadership reserve the rights to reject any registration form and to deny the right to attend the retreat.

What is your LAST name?
Your answer
What is your FIRST name?
Your answer
What is your gender?
What is your email address?
Your answer
What is your phone number?
Your answer
Are you a full-time student?
What food allergies do you have?
(Say "None" if you do not have any.)
Your answer
What medical problems do you have?
(Say "None" if you do not have any.)
Your answer
In case of emergency, who should we notify?
(List the person's full name here.)
Your answer
What is the phone number of the person above whom we should notify in case of emergency?
Your answer
What is your ride situation for retreat?
I understand that a church retreat, including this one, inherently involves theoretical risks, including ones that potentially could result in injury, disability, or even death. By putting my initials below, I agree to not hold liable either Redwood Christian Park or New Life Community Church.
(Put your initials here.)
Your answer
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