Naz Tex Single Adult Ministries - South Texas District Church of the Nazarene

2nd Annual All Texas Single Adult Retreat
at Camp Arrowhead

June 1-3, 2007
with Guest Speaker
Tim Green

NazTex Singles
1133 W. Frey
Stephenville, TX 76401

Make checks payable to WTD Church of the Nazarene

Name:
Email Address:
Address:
City:
State:
Zip:
Phone:
Check all that apply:	Divorced Never-Married Single Parent Widow/widower
Check which applies:	Female Male
Check which applies:	19-25 26-35 36-45 46-55 56-65 66+
To reserve your spot, send registration form and $20.00 deposit: Deposit is non-refundable, but is transferable.	1 to a room ($130.00 - registered by May 16) 1 to a room ($150.00 - registered after May 16) 2 to a room ($105.00 - registered by May 16) 2 to a room ($125.00 - registered after May 16) 3 to a room ($100.00 - registered by May 16) 3 to a room ($120.00 - registered after May 16) 4 to a room ($95.00 - registered by May 16) 4 to a room ($115.00 - registered after May 16)
If you are registering for 2 or more per room, please list your roommates names.
Do you wish us to choose your roommates for you?	Yes No
$5.00 for zipline registration (optional)	Yes, I want to participate in the zipline No, I DO NOT want to participate in the zipline
Would you like to participate with the worship team?	Yes, I DO want to participate with the worship team. No, I DO NOT want to partcipate with the worship team.
Please total the amount you will be mailing in with the print out of this form.
Please total the remaining amount to be paid at the retreat.

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