SLR Brochure

Registration Form First Name ___________________ Last Name ___________________ Phone Number _______________ Email: _______________________ Other Family Members: Second Adult Name ____________________________ Children: Name _______________________ Age ______... More

Registration Form First Name ___________________ Last Name ___________________ Phone Number _______________ Email: _______________________ Other Family Members: Second Adult Name ____________________________ Children: Name _______________________ Age ______ Grade ____________ Name _______________________ Age ______ Grade ____________ Name _______________________ Age ______ Grade ____________ Name _______________________ Age ______ Grade ____________  I would like to donate a Scholarship for someone to attend this retreat. Weekend ($135,50 or 25) Saturd ay ($30 or $20) Total Adult Youth Children Scholarship Total Less