DEEPER-2027 CHS Women's Retreat

* First Name

* Last Name

* Email

* Mobile Phone

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* Room Choice

Single room ($450.00)

Two to a room ($320.00)

Three to a room (50% chance of sharing a bed) ($275.00)

Four to a room (will share beds) ($250.00)

* Name of requested roommate

* Food Allergies

Gluten Free

Dairy Free

Other

NA

Please list other allergies.

* Emergency Contact Name & Phone Number

* Would you like to receive daily emails of how to pray for the Retreat for 2 weeks prior to the Retreat?

Yes

No