Women's Retreat 2010 | Unity Church of Overland Park

Limited Availability! Registration due by August 8.

First Name	Last Name
Address	Email Address
City	State	Zip
Phone (Day)	Phone (Cell)
Preferred Roommate (if any) All women will be assigned roommates	Emergency Contact & Phone
I would like to make a donation to the Scholarship Fund in order to help someone else attend this retreat, in the amount of:	I want to support the retreat. Contact me about volunteer opportunities! Yes No
Please ensure all information is filled out correctly before proceeding. Registration completed at PayPal. Registration - $180 per individual by August 8