Women's Retreat @ Drift Creek Camp
April 13-15, 2012

To register for this event, please fill out the following form and click the "Submit" button.
We can only reserve your spot with payment of a $50 non-refundable deposit.
You may pay your deposit, or the entire registration online, if you choose. Payments can also be mailed to:
Drift Creek Camp, P.O. Box 1110, Lincoln City, OR 97367.
$80 registration fee before March 1st, $90 after....Thank you!


*Full Name(s)
*Congregation
*Email Address
*Phone number(s)
*Planned Arrival Time:
I would be interested in learning more about:
I would be interested in teaching the following interest center activity
I am interested in sharing room with:
Any physical restrictions that would be helpful to know in making room assignments:
Please indicate if you are a vegetarian or have any food allergies
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You may use your Pay Pal account to pay online,

or create a Pay Pal account if you would like one.
$80 if registered by March 1st.
$90 if registered after March 1st.
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