2020 RETREAT REGISTRATION

CONTACT INFORMATION

Name

_______________________________________________________


Phone:  ________________________________________________


Email:  _________________________________________________


Hotel Confirmation #:  _____________________________________

Emergency Contact

Name:  _________________________________________________


Their Phone #:  __________________________________________


Relationship:  ____________________________________________

Hotel reservation number (call hotel at 214.272.9574 to book room):

_______________________________________________________


Link to book your hotel online:  https://hamptoninn.hilton.com/en/hp/groups/personalized/D/DALJKHX-EGG-20200618/index.jhtml?WT.mc_id=POG

Meals

A hot breakfast is included in your hotel stay.

I want lunches on (circle)

Friday          Saturday          Sunday


FOOD ALLERGIES:  ______________________________________

Will you join us for dinner (no host)?

If so, on which nights (circle)?  Friday     Saturday     Sunday

Roommate


I need help finding a roommate.


YES                 NO


Retreat Cost:  $500 includes the 4 seminars, lunches on Friday, Saturday and Sunday, snacks and non-alcoholic beverages.


Deposit of $300 must be paid no later than May 1st, 2020.  The remainder must be paid by June 1st, 2020.  No refunds after May 1st, 2020.


Amount paid:  $__________________________________