Transformed 2010 Men's Retreat 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:
Home 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 $65 and includes Range Balls, Lunch, Cart and Drink Tickets
Hiking on Friday
Paintball on Friday & Saturday- $35 includes paint and rental gun.  (At Lost Canyon)
     

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