First Baptist Church Women’s Retreat Registration Form

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Where: Liberty mountain resort

WHEN: NOV. 7-9, 2019

COST: $360 per person to include: 6 meals, 2 nights stay, workshops, registration, and transportation. Pay online at www.fbcmanassas.org or monthly payments are accepted.


Name *
Name
Phone *
Phone
Address *
Address
Emergency Information
Contact Person *
Contact Person
Phone *
Phone
Physician's Number
Physician's Number