Women's Weekend - November 15-16, 2019

First Name

Last Name

I'm a youth girl.

Yes

Your contact info:

Email Address

Phone Number

What is the best way to reach you?

Phone

Text

Room preference (with prices in parentheses):

I'd like to room with:

I'd like an event T-shirt (+$12). If so, what size?

Please be sure to immediately pay your $25 deposit. The balance of your registration is due no later than October 27th. Payment can be made online with designation “Women’s Retreat” or mailed to the church office at 300 SE Washington Blvd., Bartlesville, OK 74006.

If you prefer, you can also fill out a paper form and place it with payment in the offering plate during our Sunday Morning Worship Service.

Additional Information

I can drive as part of the carpool caravan

I'd like to sponsor someone who needs help covering the cost

I have the following dietary restriction for the meals:

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