Christ Community Church Womens Retreat

November 9-11, 2012 at Zephyr Point, Nevada Name: Address: City: Phone # Email: State: Day: Zip Code: Evening: Cell:

RETREAT COSTS: are based on accommodation choice and date of registration. Please note
that a limited number of spaces are available. Lodging assignment is first come, first served. Cabin Accommodations: Linens NOT provided. (shared bed) Lodge Rooms Accommodations: Linens provided 2 per room (individual bed) 3 or more per room (shared bed) Saturday Only (includes meals) 9/30 or Before $135 10/1 or After $155

$180 $160

$200 $180

$65 $65 $50 non-refundable deposit is due at registration; remainder is due by October 21, 2012. Payments may be made on Sunday mornings at the Womens Table on the church patio or by mail (checks only) to Christ Community Church Attn: Womens Retreat, 5025 Manzanita Ave, Carmichael, CA 95608. Indicate name(s) of preferred roommates: Name: Do you prefer? Quiet Wing

Name:

______ No Preference Yes No

Night Owl Wing

Do you have special needs (dietary, medical, etc.)? Please indicate: ____________________________

Are you able to give someone a ride to the retreat? Yes No Are you driving to the retreat on: Fri morn Friday afternoon Friday eve Saturday Would you like to ride with someone to the retreat? Yes No For your personal payment tracking:
Payment Date Amount Paid Payment Type Cash Check # Payment Location Table Mail Notes

For we are Gods Masterpiece Ephesians 2:10