East River Fellowship - Women\'s Retreat Registration

Please fill out each page of the registration and click SUBMIT. If you plan to pay online, use the Giving page. Otherwise, you can pay in person at the retreat table.

First Name

Last Name

Email

Phone Number

Address

Apartment, suite, etc.

City

State

Postal / Zip Code

Transportation

I am unable to arrange transportation and would like to be on the list to ride in the van. (Limited to 10 spots.)

I want to go to the shooting range on Saturday afternoon of the retreat and I understand that I must sign up for it NOW, not at the retreat. I'm willing to pay the $20 fee AT THE RANGE when I attend.

Yes, I'm signing up NOW, and I will bring my $20 fee with me to the range.

Please list any life-threatening food allergies:

Retreat includes Friday snacks, Saturday breakfast, lunch & dinner, & Sunday breakfast.
There will be a microwave and small refrigerator available in your hotel room if you need to bring supplemental items.

Roommate Preferences (list up to four names). Room preferences are not guaranteed but we do our best to accommodate your requests. **Everyone will share a bed**

Would you prefer a 2-person room or a 4-person room? (Room size is based on first-come, first-serve availability.)

Two-Person

Four-Person

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Phone Number

A $50 deposit must be made at the time of registration. You will be automatically redirected to the Giving page after you submit this form. If you are choosing to pay online, do so before September 28, 2025. You may also pay in person at the retreat table at church on the weekends. Final payments will be due no later than September 28, 2025. Registration closes on September 14, 2025. No refunds allowed after September 15, 2025.

By submitting this registration and in agreement for you to attend this event, you understand the possibility of any unforeseen hazards and know the inherent possibility of risk. You agree not to hold East River Fellowship, its leaders, employees, and volunteer staff liable for damages, losses, diseases, or injuries incurred at this event.

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Please fill out each page of the registration and click SUBMIT. If you plan to pay online, use the Giving page. Otherwise, you can pay in person at the retreat table.

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