"A Fresh Touch" Women's Retreat Registration Form

Tall Timbers Baptist Convention Center
10218 Hwy 165 South Forest Hill, LA
Friday, Sept. 14 2018 - Saturday, Sept. 15 2018
Payment due by August 30, 2018

Retreat costs - includes lodging overnight, meals, t-shirt, and special retreat event "Painting by the Lake"

  • (Plated Dinner - Friday Night, Breakfast & Lunch Saturday)
  • Lodging 2 per room; bedding and towels provided
  • Cost is $150 per person (non-refundable)
Name:*
Address:*
Phone:*
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E-mail:*
Church:*
Pastor:*
Name of Roommate:
In case of emergency contact:*
Emergency Phone:*
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Relationship:*

Upon clicking "Submit," you will be redirected to a PayPal payment page to complete the transaction.

This page will allow you to pay with your PayPal account, or using your credit card if you do not have an account.

T-Shirt Size:*