2023 Women's Retreat

Guest Minister is Molly Wilkins

Friday, September 1, 5:00 p.m. to

Monday, September 4, Noon
Registration Fee:

$75.00 per person for the full weekend;

Daily: $25.00 per person

Fee can be paid by:
- Cash
- Check or
- Venmo @salt-lake-cofchrist
Registrant's Information
Name

First NameLast Name
Pronouns
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone

Area CodePhone Number
Email
Dietary Needs
Health & Allergy Concerns
Emergency Contact Information
Emergency Contact's Name

First NameLast Name
Phone Number

Area CodePhone Number
Housing Special Needs
Roommate Preference
Should be Empty: