Family Retreat Registration
August 9 - 11, 2019 @ Lake View Camp & Retreat Center | 5128 FM 66, Waxahachie, TX 75167
Theme: Bearing One Another's Burdens (Galatians 6:2)
Leaders: Rev. Dr. George Joseph, Rev. Dr. Abraham Mathew, Rev. Blezin K Mon, Sam John
Email address *
Name *
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Account Number *
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Spouse Name
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Child 1 Name
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Child 1 Age
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Child 2 Name
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Child 2 Age
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Child 3 Name
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Child 3 Age
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Child 4 Name
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Child 4 Age
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Phone (Home)
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Phone (Cell)
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Medical History/Notes
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Registration Options (Per Person)
All fees are non-refundable
*10 Discount for First Day Registrants Per Person
Registration Fee
•$100 (Per Adult)
•$50 (Per Child 6-12 )
•$25 (Per Child 4-5)
For Registration Questions Contact:
Registration Coordinators:
Easaw Maliakal (972) 746-3614
Aby George (214) 529-7468

Retreat Conveners:
Anil V. Abraham or Abraham Mathew (Dallas)

A copy of your responses will be emailed to the address you provided.
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