Constance Free Church

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men's retreat registration & online payment form

After verifying that the information on the following form is correct, please click the submit registration button below and you will be redirected to our secure, online store. Your registration is not complete until you have paid your registration fees.

First Name: Last Name:

Address: City: State: Zip Code:

Home Phone: Cell Phone: Work Phone:

Email Address:

Saturday afternoon activities (indicate interest):

ATV

Golf (additional cost)

Fishing (in addition to Saturday night launch)

Frisbee Golf

Trap Shooting

Lodging arrangements:

Do you snore? Yes No

Do you need a ride? Yes No

Can you give a ride? Yes No

Would you like to receive email updates for other men's ministry events? Yes No

Age Group:

Additional comments or questions: