Christ Covenant Church

2016 WOMEN’S RETREAT Aug. 5th – Aug. 7th

“Life Surrendered – A Call to Commitment” — Rom. 12:1-2

Venue: Cross Pointe Retreat Center, Rocky Mt., MO

Registration Fee: $170.00

REGISTRATION FORM

CCC WOMEN'S RETREAT 2016

First Name*
Last Name*
Contact Phone*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Special Dietary needs
- I can pay for someone else who would like to go but have no finances.
Transportation
- I will use my own transportation from Christ covenant church to Cross Pointe Camp & Retreat center in Rocky Mt.
- I will drive and my vehicle can accommodate other women who can drive with me.
If you check above, No. of women who can drive with you.
Women's Retreat 2016 Registration Fee
Price: $170.00
Phone
This field is for validation purposes and should be left unchanged.

NOTE: When you click on the above “Submit” button, you will be redirected to the SECURED Paypal Payment Processing page that looks like below. You DO NOT need to have a Paypal account to make payment. We used Paypal as our Credit / Debit card processing gateway. Click on the “Don’t have a Paypal Account” link to make payment using any credit / debit card.