Winter Retreat 2022 Registration Form

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We're excited for you to join us for winter retreat! We're going to spend some time together on 1/29/22 11:00am-5:30pm, hosted at New Day Community Church on Nichols road. And it's FREE. Our time will include time with God, workshops, time in our small groups and providing lunch as well! Safety Stuff - We'll be wearing masks, trying to distance and ask that you not attend if you have any symptoms.
Please fill out the registration form below to join us.

First Name *

Last Name *

Phone Number *

Email Address *

Who is your small group leader?

Please list any time conflicts you have (needing to arrive late, leave early, etc.)?

Emergency Contact *

Emergency Contact Relationship *

Emergency Contact Phone *

Are you a minor (not yet 18 years of age)? *

Yes

Transportation: *

I need help with transportation

I'm all set, and I have room to drive others!

I'm all set, but I'm not able to bring others.

Car Capacity (including yourself)

Any food allergies or dietary restrictions?

Would you be willing to help out with setup or cleanup?

Yes

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Is there anything else that you want us to know?

Submit

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