CANA Weekend: A Lasting Marriage - Feb 4-5, 2023 The Highway Community, Mt. View, CA

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Cost: $175 per couple (estimated)

Childcare: Sat $75/child and Sun $50/child (Couple required participation is two days, but children can be in childcare as needed). CANA is all volunteer, but childcare providers will be paid.

Participants are asked to pay as able and led. All are welcome regardless of ability to pay. Space is limited.

Spouse #1 Last name, First name (Lee, Pat) *

Spouse #2 Last name, First name (Lee, Pat) *

Spouse #1 phone number: (xxx-xxx-xxxx) *

Spouse #2 phone number: (xxx-xxx-xxxx) *

Spouse #1 email: *

Spouse #2 email: *

Household Street Address: (ex: 121 N 14th St) *

City, State, Zip code: (San Jose, CA 95112 ) *

Name of church affiliation (if any)

If you need childcare, select days needed.

Saturday ($75/child - suggested payment)

Sunday ($50 - suggested payment)

Child #1: Name, Age, Gender (Sam Lee, 10, M)

Child #2: Name, Age, Gender (Sam Lee, 10, F)

Please list information for any additional children.

List dietary allergies or considerations for any family member(s).

How did you hear about this retreat?

Any additional information we need to know?

Thank you for registering. Please send $100 deposit to:

CANA USA
2631 15th Avenue
San Francisco, CA 94127

or Zelle:

payments@canausa.org

Memo: Cana Weekend Feb 2023

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