Arizona Men's  Retreat 2010 Registration

Fill out the fields below and click "Register" when complete.
Please check with your local church for total cost of retreat

 
First Name:
Last Name:
 MI:
Mailing Address:
City:
 State:
Zip:
Phone:
Cell Phone:
Work Phone:
Email Address:
Attending Church
 (Please select the church you attend)
Roommate Request 1
Roommate Request 2
Roommate Request 3
T-Shirt Size
Would you like to attend one of these events?
Golf on Friday at Elephant Rock - Cost is $70 and includes Range Balls, Lunch, Cart and Drink Tickets
Hiking on Friday
Paintball on Friday & Saturday- $40 includes paint and rental gun.  (At Lost Canyon)
 

 

  

After submitting this registration, please submit payment to your home church.