Thanksgiving Retreat 2017 Registration Form

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We're excited you've decided to join us for a time of fellowship & refreshing in God's Word. This year's theme is "Imago Dei - the Image of God". We look forward to seeing you and your family & friends there. Please fill a form for EACH participant of the retreat.

First name *

Last name *

Preferred Service *

Indonesian

English

Sunday School (12 y.o. and under)

Not Applicable (under 3 y.o)

Please check the boxes on which mealtime you will be joining: (n/a if under 3 y.o)

Thursday dinner

Friday breakfast

Friday lunch

Friday dinner

Saturday breakfast

Commuting (breakfast not available)

Staying Overnight

Rooming preferences (If you have agreed to room with 3 other friends or family members, please list their names below; we will do our best to accommodate you).

Dietary restrictions

Preferred contact information (email/phone number): *

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