Peace River Baptist Association
Monday, April 22, 2019

2019 Women's Retreat Registration Form

                                                           
                                                                  "BEAUTY IS FOUND WITHIN"                                     
                                                 2019 WOMEN’S RETREAT REGISTRATION FORM
                                                                          Sept. 26-28, 2019
                                                       Lake Placid Camp and Conference Center

Church:__________________________________________________Date:__________________________

Church Leader:_________________________________________Cell Phone:_________________________

Email:________________________________________             Text:  Yes     No    (please circle one)

Circle housing choice:         Grace Place Bunks        Cabin        Lake Childs Motel         The Villas
Cost per person:                               $120                         $130                    $160                           $160

1 Name:____________________________________________Email_________________________________

Amt Paid:_____________  Balance Due:_____________        T-shirt size:_______________

2 Name:____________________________________________Email_________________________________

Amt Paid:_____________  Balance Due:_____________        T-shirt size:_______________
 
3 Name:____________________________________________Email_________________________________

Amt Paid:_____________  Balance Due:_____________        T-shirt size:_______________

4 Name:____________________________________________Email_________________________________

Amt Paid:_____________  Balance Due:_____________        T-shirt size:_______________

5 Name:____________________________________________Email_________________________________

Amt Paid:_____________  Balance Due:_____________        T-shirt size:_______________


Pre-registration ~ $40 per person

Registration Balance Due ~ August 12, 2019

Please make checks payable to “Peace River Baptist Association”

Mail registration forms along with the deposits / or balance to:
Diane Joens
1981 NW Voss Oaks Circle
Arcadia, FL  34266
 
Questions:  Call Diane Joens @ 863-990-0586 or Nancy Lee @ 941-637-0874