Church Retreat Registration

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2016 PMC Annual all-church Retreat Registration Form

Your Email *

Person 1 *

First

Last

Age (person 1) *

18+ years 9-17 years 3-8 years 0-2 years

Preferred Lodging (person 1) *

Cabin/Hadley Hall Pacific Woods Tent/RV Day use only (will not be spending the night at camp)

Lodging (person 1) *

Fri. & Sat. nights Only Fri. night Only Sat. night Day use only (no overnight at camp)

Meals (person 1) *

Sat. Breakfast Sat. Lunch Sat. Dinner Sun. Breakfast Sun. Lunch

Special Diets? (person 1) *

Dairy Allergy Diabetic Vegetarian Vegan Non-celiac Gluten-free

If you are registering more than one person, please enter their names and details below. Leave blank any unneeded entries.

Person 2 *

First

Last

Age (person 2) *

18+ years 9-17 years 3-8 years 0-2 years

Preferred Lodging (person 2) *

Cabin/Hadley Hall Pacific Woods Tent/RV Day use only (will not be spending the night at camp)

Lodging (person 2) *

Fri. & Sat. nights Only Fri. night Only Sat. night Day use only (no overnight at camp)

Meals (person 2) *

Sat. Breakfast Sat. Lunch Sat. Dinner Sun. Breakfast Sun. Lunch

Special Diets? (person 2) *

Dairy Allergy Diabetic Vegetarian Vegan Non-celiac Gluten-free

Person 3 *

First

Last

Age (person 3) *

18+ years 9-17 years 3-8 years 0-2 years

Preferred Lodging (person 3) *

Cabin/Hadley Hall Pacific Woods Tent/RV Day use only (will not be spending the night at camp)

Lodging (person 3) *

Fri. & Sat. nights Only Fri. night Only Sat. night Day use only (no overnight at camp)

Meals (person 3) *

Sat. Breakfast Sat. Lunch Sat. Dinner Sun. Breakfast Sun. Lunch

Special Diets? (person 3) *

Dairy Allergy Diabetic Vegetarian Vegan Non-celiac Gluten-free

Person 4 *

First

Last

Age (person 4) *

18+ years 9-17 years 3-8 years 0-2 years

Preferred Lodging (person 4) *

Cabin/Hadley Hall Pacific Woods Tent/RV Day use only (will not be spending the night at camp)

Lodging (person 4) *

Fri. & Sat. nights Only Fri. night Only Sat. night Day use only (no overnight at camp)

Meals (person 4) *

Sat. Breakfast Sat. Lunch Sat. Dinner Sun. Breakfast Sun. Lunch

Special Diets? (person 4) *

Dairy Allergy Diabetic Vegetarian Vegan Non-celiac Gluten-free

Person 5 *

First

Last

Age (person 5) *

18+ years 9-17 years 3-8 years 0-2 years

Preferred Lodging (person 5) *

Cabin/Hadley Hall Pacific Woods Tent/RV Day use only (will not be spending the night at camp)

Lodging (person 5) *

Fri. & Sat. nights Only Fri. night Only Sat. night Day use only (no overnight at camp)

Meals (person 5) *

Sat. Breakfast Sat. Lunch Sat. Dinner Sun. Breakfast Sun. Lunch

Special Diets? (person 5) *

Dairy Allergy Diabetic Vegetarian Vegan Non-celiac Gluten-free

Other information you'd like the retreat committee to know: *

Use this space to provide any additional information to the retreat committee.

Submit

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