Ladies Retreat Registration

Vancouver Island Calvary Chapel Ladies retreat
Registration Deadline is October 27th.

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Contact Number *

Email *

Church Name *

Please choose 1 *

Full conference & Meals Sessions only

I am bringing a nursing infant. *

Yes No

Room mate Request - up to 5 *

Allergies or dietary restrictions *

Submit

Payment can be made at the conference by cheque or cash (cheques can be made out to Calvary Chapel Westshore)