Ladies' Retreat Registration
Attendee's Information
(Ladies only please)
Name
First Name
Last Name
Your Cell Phone Number
Please enter a valid phone number.
Email
example@example.com
Emergency Information
Emergency Contact's Name
First Name
Last Name
Relationship
Please Select
Husband
Parent
Friend
Other
Emergency Phone Number
T-Shirt Size
Please Select
Opting out
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
Adult XXX-Large
Do you have any allergies or medical conditions? If yes, please describe.
Do you have any food sensitivities that our meal team should avoid? If yes, please explain any instructions.
What stage of homeschooling are you in?
*
Just getting started
Elementary years
Middle school years
High school years
Veteran Homeschool mom
Session Topic Survey: Which topics would you like to be included in the teachings?
*
Getting Started Homeschooling
Keeping motivation (you)
Motivating Kids
Occupying little ones while homeschooling
Marriage & Homeschooling
Leading & launching Teens
Other
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Registration (includes Friday dinner & Saturday lunch)
Registration covers: the meals, craft supplies teaching & social times. Total Cost: $65
$
65.00
Quantity
1
2
3
4
5
6
7
8
9
10
TShirt
Please ensure the correct size is selected above.
$
15.00
Submit Form
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