2022 Spring NHCC Retreat Registration

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Please fill out all sections completely and submit payment using the link below. Thank you!

Full Name *

Email address *

Cell phone number *

I plan to attend the following retreat: *

Men's (Apr. 1-3)

Women's (Apr. 29-May 1)

Required

I have the following desires/goals for my retreat experience: *

My transportation plans (to/from retreat location at 255 Neck Rd. China, ME 04358): *

I will drive myself

I will drive myself and can bring others

I need someone to drive me

Other:

I have completed payment for the following rate (pay by cash, check, or online INCLUDE MEMO "2022 Spring Retreat" in additional comments box at https://app.clovergive.com/app/Giving/clodo-northharborcommunitychurch): *

$125 Base cost (includes 5 meals, 2 nights lodging, all activities)

$150 Base cost PLUS $25 donation to fund scholarships for those who cannot afford to attend

I need scholarship support in order to attend

Other:

Required

I have the following dietary restrictions and plans for alternate meals:

I have the following medical conditions that may impact my participation:

Emergency contact name, cell phone, and relation to retreatant: *

Thank you!

Thank you for registering for this retreat! We are excited to connect with Jesus together with you at beautiful China Lake.

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