JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Prayer Shawl Retreat
Event Dates: May 31st - 2nd, 2019
Event Address: 58 Hege Ave. Beersheba Springs, TN 37305
Contact us at (931) 692-3669 or
beershebaoffice@tnumc.com
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Email
*
Your answer
Address
*
Your answer
Do you need a handicap room?
Yes
No
Clear selection
Lodging
*
Single Occupancy & 5 meals $166
Double Occupancy & 5 meals $124
Double Occupancy & 5 meals $124 - Please match me with someone.
Saturday June 1st Day event & 3 meals only - $45
Required
Roommate:
Your answer
Dietary restrictions
*
None
Vegetarian
Vegan
Kosher
Gluten-free
Other:
Payment Options - payment may be collected at registration
*
Church payment
Check
Credit Card
Other:
If paying by check, include check # (mail to: Beersheba Springs Assembly PO Box 577 Beersheba Springs, TN 37305)
Your answer
If paying by credit card, include cc#, security code, expiration date, and zip code
Your answer
If paying by credit card, amount authorized to charge
Your answer
I understand that I will have to pay the balance due upon arrival.
*
Yes
Required
Electronic Signature
*
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of Tennessee-Western Kentucky Conference UMC.
Report Abuse
Forms
