2250 Clark Ave    Long Beach, CA 90815    562.597.2411    Staff List

Mens Ministry | Mens Retreat 2013

Men's Retreat Registration

Please fill out and submit this form with required $75.00 deposit. (* indicated required field)

Note: Each person attending must fill out a separate registration.

*Name:
*Address:
*City:
*Zip:
*Phone:
*Email:
I am attending:
Retreat Only
Retreat and Gleanings
I can drive others:
Yes
No
I would like to carpool to:

Retreat Only
Retreat and Gleanings
Not Applicable

T Shirt Size:
Adult_Small
Adult_Medium
Adult_Large
Adult_XLarge
Adult_XXLarge
Adult_XXXLarge
Adult_XXXXLarge

Cancel and return to the Mens Ministry Main Page.