Retreat Registration Form

First Name

Last Name

Email Address

Phone

Do you need a gluten-free lunch? Do you need a gluten-free lunch? Yes No

Are you bringing a friend who is attending the retreat for the first time? Are you bringing a friend who is attending the retreat for the first time? Yes No

If yes, name of friend:

How did you hear about this retreat? How did you hear about this retreat? Friend Church Social Media Other

Cost: $35 Cost: $35 Cash Check PayPal paypal.me/SandraJDennis Venmo sandyart2

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