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CBCOC 2019 Retreat Registration Form
June 21-23, 2019
Murrieta Hot Springs Christian Conference Center
Early Bird Registration Until May 26
Registration Ends June 6
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Gender
*
Male
Female
Which Congregation Service do you attend?
*
Cantonese/English
English
Mandarin
How many are Attending in your Family
*
0
1
2
3
4
Adults ($100 Early Bird, $180 Regular)
Youth Ages 13-18 ($75 Early Bird, $180 Regular)
Children Ages 6-12 ($50 Early Bird, $150 Regular)
Children Ages 3-5 ($25 Early Bird, $140 Regular)
Infants Under 3 years (Free)
0
1
2
3
4
Adults ($100 Early Bird, $180 Regular)
Youth Ages 13-18 ($75 Early Bird, $180 Regular)
Children Ages 6-12 ($50 Early Bird, $150 Regular)
Children Ages 3-5 ($25 Early Bird, $140 Regular)
Infants Under 3 years (Free)
Which days do you plan to attend our Retreat?
*
All 3 days
Saturday only ($75 Early Bird, $100 Regular, Meals Sold Separately)
Sunday Worship only (Free, Meals Sold Separately)
Required
Please List the Names of Adults in Your Family besides yourself and their relation to you
Example: Paul (husband), Marie-daughter
Your answer
Please List the Names and Ages of Your Children
Example: Chris (8), Clara-5
Your answer
Any Allergies, Dietary Preferences, or Special Requests we need to be aware of?
Please list Names and their Allergies and Needs
Your answer
Do you have any transportation needs to the retreat?
*
Choose
I will arrange my Own Transportation
I can provide transportation
I need a ride to and from retreat
If you can provide or need transportation to the retreat, please provide the city you are coming from, and the earliest time you're available to leave
Example: Diamond Bar 5pm
Your answer
Send me a copy of my responses.
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