Ladies Retreat Registration

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Registration Deadline is October 27th

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Church *

Choose One *

Full conference & Meals Sessions only

Room mate request- up to 5 *

I am bringing a nursing infant. *

Yes No

Allergies or dietary restrictions *

Payment can be made by etransfer to [email protected] or at the conference by cash or cheque (cheques are made out to Calvary Chapel Westshore)

submit