Women's Retreat Registration Form

Name*
Phone*
Email*
example@example.com
Church
Emergency Contact Name*
Emergency Contact Cell Phone*
Special Needs
Please choose one of the following:
Would you like to stay the night?*

YESNO
Nursery needed: (5 & under)

YES
Age of child:
Registration Fee is a love offering during the event.
T-Shirt size:*

SmallMediumLargeExtra Large2X
"The True Vine" Women's Retreat 2024 Hosted by Statesboro Primitive Baptist Church Located at Camp Hillview - 7159 Hillview Rd, Claxton, GA 30417
Should be Empty: