2023 Women's Day Retreat

Saturday, March 18 | Please fill out this form and click submit.

Name

*

Email

*

This address will receive a confirmation email

Payment for Self

Self ($35) Other (Select this only if directed to) ($0)

Amount

Girlfriend Payment

I will not have a girlfriend with me ($0) 1 Girlfriend ($25) 2 Girlfriends ($50) 3 Girlfriends ($75) Other (Select this only if directed to) (0)

Amount

List Girlfriends' Names (or N/A when necessary)

*

Lunch is included in the registration fee. Please indicate how many lunches (regular or gluten free) you need for yourself and any girlfriends you are registering for. The number of lunches you request, should match the number of people in your group.

Regular Lunch Count

*

Please select one option.

None 1 2 3 4

Gluten Free Lunch Count

*

Please select one option.

None 1 2 3 4

Scholarship Payment - If you would like to contribute to the scholarship fund

Additional Comments & Questions:

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Saturday, March 18

Please fill out this form and click submit.

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