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CAC Fall Ladies Retreat
First name
Last Name
Email
Phone
Emergency Contact Name
Emergency Contact Phone
Tshirt Size
Select one...
Small
Medium
Large
XL
XXL
Dietary Restrictions
Nut Free
Gluten Free
Dairy Free
Vegetarian
Vegan
Other
Disabilities or medical conditions
Registration Options
Two nights (Friday night - Sunday morning)
Day Only (Friday evening, all day Saturday and Sunday morning but no overnight accommodation)
VOLUNTEER OPPORTUNITIES
Would you be willing to serve on a set up & clean up team for one (1) meal over the course of the weekend?
Yes
No
For Overnight Guests Only
Room selection (Bathrooms are shared between two rooms.)
One Person Room - Twin (lower bunk)
Two Person Room - Full & Twin (lower bunk)
Three Person Room - Full & Bunk bed (upper and lower bunks)
No preference
RoomMate Name(s) – Or specify no preference
I’m willing to sleep on a top bunk, if needed
Yes
No
Payment Method
Select your payment method...
Cash (mail or deliver to church office, attention to Jamie Watkins)
Check (mail or deliver to church office, attention to Jamie Watkins)
Credit Card (Select the “Pay Online” button below, prior to submitting this form and select “Women’s Fall Retreat” option from the “Fund” drop down)
Registration Fees:
$195/overnight and $90/day only. Registration & Payment Due by 10/01/26.
Scholarship Opportunity:
Scholarships are available upon request. If financial assistance is needed, please contact Danae Lauffer at danae.lauffer@gmail.com
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