Name *

First Name

Last Name

Phone *

(###)

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Next Year's Retreat

Please email me about next year's Women's One-Day Retreat when the information becomes available.

Emergency Contact Person *

First Name

Last Name

Emergency Contact Phone *

(###)

###

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1st Hour Workshop Selection *

Choose one workshop to enjoy

Fall Craft Pumpkin

Painted Ornament

Chat with Katie

2nd Hour Workshop Selection *

Choose one workshop to enjoy

Resin Dry Flower Earrings

Sourdough Making

Bible Journaling/Art

Payment Method ($45) *

Cash or check the morning of the retreat

Electronically, after submission of this form

Special Registration Category

I am a Pastor's Wife

I am on the GCBC Women's Ministry Team

I am a Workshop Leader