Ladies Retreat Registration (BC)

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Provinces

BC

AB

ON

QB

Name *

First

Last

Email *

Phone Number *

Address *

City/Town *

Postal Code *

Province *

Are you coming for the weekend or just Saturday? *

Please choose one.

If you are staying for the weekend, is there anyone you would like to stay with?

Dietary restrictions:

Please only provide necessary dietary restrictions that you will be sticking to while here at the retreat.

Are you coming with a church group? If yes, what church? If no, leave blank.

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