Women's Retreat Registration Form - Calvary Bible Chruch, Boulder and Erie, Colorado

* - required fields
*First Name :
*Last Name :
*Address :
*City :
*Zip :
* Email :
* Phone :

* Rooming Options - (THERE ARE TWO QUEEN SIZE BEDS IN EACH ROOM. The weekend is all inclusive. Make checks payable to Calvary Bible.):		2 people per room ($175 per person) I want to stay in a dormitory room ($135.00 per person) - We have a limited number of dormitory style bunk beds available.
* Room Mate Options:		No preference with whom I room. I want to share my room with: , (your roommate must put your name down as well) I want my room to be connected to: Please make sharing arrangements prior to registering. Please make sure that who you want to room with puts your name on their registration form, also.
* Are you a nursing mom that needs a crib in the room? :		Yes No (There is no charge for the crib) **Please note that child care will not be provided, however, nursing infants are welcome to attend with Mom.
* Meal Considerations ? :		I am a Vegetarian I am not a Vegetarian Please Describe any special meal considerations:
Carpooling :		I would like to be contacted about carpooling I need a ride I would like to help by carpooling and I can drive
* Would you like to attend the retreat and NOT stay at the facility, $80 for the weekend?		Yes No **Please note that this option is available ONLY if we meet our minimum requirement of 75 people attending the retreat. We can take your reservation but can not confirm the price until we meet our minimum attendance requirement.