Women's Retreat Registration Form
"The Porch Light's On"
PRBA WOMEN’S RETREAT
September 20-22, 2012
Lake Placid Camp and Conference Center
REGISTRATION FEE: $100
CHURCH:______________________________________________________________________
Group Leader:___________________________________________________________________
Address:_______________________________________________________________________
City:____________________________________________________Zip:____________________
Phone:______________________ Email:___________________________
Bed Early_____Bed Late_____Bottom Bunk_______
Name:_______________________ Bed Early_____Bed Late_____Bottom Bunk_______
Name:_______________________ Bed Early_____Bed Late_____Bottom Bunk_______
Name:_______________________ Bed Early_____Bed Late_____Bottom Bunk_______
Name:_______________________ Bed Early_____Bed Late_____Bottom Bunk_______
Name:_______________________ Bed Early_____Bed Late_____Bottom Bunk_______
Number of bottom bunks required: ______
Return this form with the registration fees by August 13, 2012 to:
Peace River Baptist Association, 30275 Beech Road, Punta Gorda, FL 33982
(You may duplicate this page)
