Event registration- Please complete one for each registrant
Event Timing: June 23rd-26th, 2022
Event Address: Split Rock Resort, Lake Harmony, PA
Contact us at (215) 659-9528 or kquarles@1bcc.org
Sign in to Google to save your progress. Learn more
Email *
Family Name *
Please list the names of guests in your room.  Please also include ages of any children. *
Program fee *
T-shirt sizes for all registered guests                      - one complimentary t-shirt per person. Additional t-shirts may be purchased for $20.00 each. *
Required
Do you need bus transportation which is $65 per person? *
Required
Dietary restrictions *
I understand that I will have to make lodging reservations with the resort directly.                            Split  Rock Resort – C/O Group Reservations – PO Box 567 – Lake Harmony, PA 18624                                                           Email: reservations1@splitrockhotel.com *
Required
I understand that the fees associated with this form are non-refundable after June 9, 2022. *
Required
I understand that I have to remit payment after submission of this form via cash, check (payable to First Baptist Church of Crestmont) or credit card (via Eventbrite at https://www.eventbrite.com/e/first-baptist-church-of-crestmont-big-results-retreat-tickets-239808592957 ) *
Required
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms