YOUNG ADULT - SENIOR ADULT RETREAT

Friday, Jan. 19 - Sunday, Jan. 21, 2018.

 

A FORM MUST BE SUBMITTED FOR EACH PERSON ATTENDING THE RETREAT.  FIELDS MARKED WITH AN (*) ARE REQUIRED FIELDS.  CLICK SUBMIT AT THE BOTTOM OF THE PAGE TO PROCESS YOUR REGISTRATION.  ONLINE PAYMENT IS AVAILABLE AFTER SUBMITTING YOUR REGISTRATION.

 

Name *
Name
Address *
Address
Phone *
Phone
Lodging & Payment Options *
Please Select ONE of the following lodging and payment options:
Payment Information *
NOTE: Your registration for this event is NOT complete until the form and full payment have been received by the Regional Office. Payments CANNOT be accepted at the event.

If you would like to pay online, please click here AFTER you have pressed the submit button above.  By registering for this event, held by the Alabama-NW Florida Region, you are agreeing to the terms of the REFUND POLICY.  If you have any questions, or encounter problems submitting your registration, please contact Susan at 205-425-5245.