Couples Retreat Registration
Register here for couples retreat 2019
Hosted by: PCG Impact Central Cal District Youth Directors Rev. Matt and Jasmine Moorhead
Keynote Speakers: Eric Lindburg MA & Autumn Lindburg Ph.D. MFT
March 6-8, 2020
Mountainbrook Church San louis Obispo Ca
Email address *
Name: *
Your answer
Name of Spouse *
Your answer
Address: *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Phone: *
Your answer
Church:
Your answer
Pastor
Your answer
Motel: (this is so we can try to help get the price down on Hotels for you)
Your answer
Date of your Anniversary:
MM
/
DD
/
YYYY
Exclusive Couples Retreat T-shirt (Only guaranteed if Pre-ordered)
How many T-Shirt(s) ($15 per shirt, add $2 for XXL and up)
T-Shirt Sizes (Select each shirt size)
I will be paying via *
A copy of your responses will be emailed to the address you provided.
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