2017 Women's Retreat Registration

    • General Information

    • First Name
    • Last Name
    • Email
    • Phone Number
    • Newcomer?
      • This is my first PBC women's retreat
    • You have two options. The Day Package is for Saturday only and includes refreshments, lunch & dinner, and all included programs and activities. The Overnight Package includes four meals and one night's lodging. Bed linens and towels are provided in every category. If the level you would like is marked FULL, chose an available option and email Leslie Gehring (lgehring2004@yahoo.com) to be added to a waiting list for your preferred choice. You will be contacted should a spot open up.
    • Level
      • $60
        Saturday meals and programs only
      • $Full
        FULL Economy: 2-5 per room, twins and bunks, central bath
      • $Full
        FULL Standard: 4 per room, bunks, central bath
      • $Closed
        Select: 2-4 per room, twins and doubles, private bath
      • $Closed
        Deluxe: 2 per room, double beds, private bath
    • Roommates requested
    • Single Occupancy Upgrade
      • $Closed
        earlybird discount does not apply
      A limited number of Select accommodations are available for upgrade for an extra fee of $50. Check the box above to register for this. (We will contact you and refund you if the upgrade you requested is no longer available.)
    • Financial Considerations

    • Scholarship donation
      If you would like to make a donation toward the retreat scholarship fund, this is the place to do it! Thank you for your generosity.
    • If you need financial assistance to attend the retreat, please contact Corrie Gustafson.
    • Transportation

    • Carpools
      • I need a ride
      • I can give a ride
    • Number of passengers
      If you can give a ride, how many people can you take?
    • Preferred departure time/location
      For example: 7am Saturday, PBC parking lot
    • Notes

    • Special Room Needs
      • I need a first floor room
      • I need a bottom bunk
    • Dietary needs
      such as dietary restrictions or allergies, etc.
    • When you submit this form, you SHOULD be taken to a PAYMENT page and given the option to pay by check, or electronically using Paypal. (If you do not see a payment page, this form failed to submit correctly. Try switching to another web browser.) Checks should be made out to PBC with "women's retreat" in the memo line and mailed to: PBC Women's Retreat, 3505 Middlefield Rd, Palo Alto, CA, 94306. You can also drop off your check to the church office or to the women's retreat registration table on the PBC patio on December 11 & 18, January 8 & 15
    • Refunds will be given at the following conditions: Full refund through January 1; 50% refund January 2-14; no refunds on or after January 15.
    • YOU SHOULD RECEIVE A CONFIRMATION EMAIL WITHIN ONE WEEK FROM YOUR REGISTRATION. If you do NOT hear from us, please contact Leslie Gehring (lgehring2004@yahoo.com). Sometimes technology fails us; we apologize in advance for any glitches.
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