Cross Roads Framily Retreat 2019
Please complete the following information to register for Cross Roads Framily Retreat January 18 - 20, 2019
First Name *
Your answer
Last Name *
Your answer
Gender *
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Email Address *
Your answer
Phone *
Your answer
Male Participants *
Please include first and last name of participants
Your answer
Female Participants *
Please include first and last name of participants
Your answer
Facility and Guest Number *
Please mark 0 for rows you do not have anyone staying in a specific facility
0
1
2
3
4
5
6
7
Christ Center - $170
Other Facilities - $95
Children 7 - 12 - Christ Center - $85
Children 7 - 12 - Other Facilities - $48
Children 6 and under - Free
Dietary Needs
Your answer
Special Needs
Your answer
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