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
Name of Spouse
Motel: (this is so we can try to help get the price down on Hotels for you)
Date of your Anniversary:
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
Credit/debit card (you will be sent a payment link via email)
I will Mail a check/cash to PCG youth 610 pico Ave Clovis, Ca 93612
I am a Campaign Impact Member and have recieved a Free Registration voucher.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service