Colorado Women's Weekend

Please fill one of these out per person. Deadline for check to arrive is June 25, 2009. We must give an early rooming list to the retreat.

Return to the information page

Fill out, print and mail this form along with your check to:

Connie Ashley
12403 W. 84th Dr.
Arvada, CO 80005-1158

Make the check payable to:

United Church of God, Denver

Registration Form

Your Info

Name

Your Address

City, State and Zip

Phone Number

Email address

Church Area

Tranportation Info

Do you need someone to provide a ride from the airport to the retreat? Yes: No:

If "yes" then please provide: Airline & flight #:
Date & time of arrival:

Do you need a ride from the retreat back to the airport? Yes: No:

If driving, when do you plan to arrive?

Accommodations

Will you need accommodations for Thursday night before the retreat? Yes: No:

If arrival at the retreat on Friday evening will be after 7 but before 8, would you like a dinner plate saved? Yes: No:

Will you need a place to stay Sunday night after the retreat before starting home? Yes: No:

Please describe any dietary restrictions you may have

Please describe any special needs you may have like handicap facilities (additional cost may be a factor if a special bed or sleeping arrangement is required. Please inquire.)

We are happy to hold your check until July 27 to cash. Check here if you'd like us to do so. Hold My Check:

Please fill in the form, print it and mail it to the address above.