LOUISIANA A/G NETWORK

LOUISIANA A/G NETWORK

LEADER CARE: COUPLES RETREAT
Welcome to the Leader Care Retreat Registration Form where you will be able to register you & your spouse. ***Please contact Ben Comer (ben@mycapitalcity.church) with any questions that arise.***

Event Location - Abbie Lane 7581 US-71 Coushatta, LA 71 Arrival time: 4pm Sunday Departure: Noon on Thursday.
Retreat Date for which you are registering. (please select ONE date )
Retreat Attendee Name*

First NameLast Name
Attendee Ministry Roll *
Attendee Ph. # (mobile)*
Please enter a valid phone number.
Attendee Email*
example@example.com
Attendee T-shirt Size*
Attendee Dietary Restrictions?*
Attendee: Favorite Snack*
Attendee: Favorite Fountain Drink*
Spouse's Name*

First NameLast Name
Spouse Ministry Roll
Spouse Ph # (mobile)*
Please enter a valid phone number.
Spouse Email*
example@example.com
Spouse T-shirt Size*
Spouse Dietary Restrictions?*
Spouse: Favorite Snack*
Spouse: Favorite Fountain Drink*

My Products

Leader Care RetreatCouples Registration

$150.00 Quantity

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Total

$0.00

Welcome to the Leader Care Retreat Registration Form where you will be able to register you & your spouse. ***Please contact Ben Comer (ben@mycapitalcity.church) with any questions that arise.***