Would you like to register for a Living in Christ Retreat? Please complete the following form or download a printable registration form.

Full Name:

Phone Number :

Full Mailing Address:

Email address:

I am a: male female

Age:

Retreat date for which you are registering:
Sunday. Jan. 15, 2012
Wednesday, Feb. 29, 2012
Saturday, March 24, 2012

Name of person(s) I would like to sit with (optional):

Optional: Please tell us about any accommodations you might require (e.g., dietary needs, mobility concerns, large print needs, etc.).