2023 Grace Life Retreat Registration
November 3-5 at Pine Valley Christian Conference Center
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Email *
Last name
First names of you and your spouse
Example: Boaz, Ruth
First names/preferred names of all children in family and age (at the time of retreat Nov 3)
Example: Obed (14), Robert/Bob (10)
Please indicate the number of people in your family who are attending (INCLUDING ADULTS) in each age group as of the date of retreat (Nov 3)
1
2
3
4
5
6
Adults
Children 12+
Children 3-11
Children 0-2
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Name and phone # of point of contact
Would you like our Allergy Coordinator's assistance arranging for meals?
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Lodging preference
IMPORTANT: Since on-site lodging is limited, if you are planning on staying on-site, please wait to pay until your spot is confirmed. If you are choosing to commute you can pay at any time.

NOTE: There is no longer on-site parking. Off-site parking will be by the entrance.
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Do you plan on staying for Sunday lunch at Pine Valley? 
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FOR GRACE LIFE ADULTS ONLY - please choose your t-shirt size for you and your spouse (men's size)
S
M
L
XL
XXL
You
Your spouse
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Questions or comments?
Example: can my youth kid sleep in the dorm with other youth kids?
Next Steps
Please complete PVCC's liability release form!

Release forms will be available at the registration table at church
- OR -
Can be found here: https://pinevalleybible.com/about/#releaseforms - please either: 
A copy of your responses will be emailed to the address you provided.
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