Best Friends Retreat 2010 Registration
September 24-26
Camp Tahkodah
$65
Name
:
Grade
:
Select
6th
7th
8th
9th
10th
11th
12th
Adult
Gender
:
Select
Female
Male
Church Name
:
Select
Crosswalk
Chenal Valley
Little Rock Church
University Church of Christ
Gateway
National Park
New Bethel
Friend of a member
Member Name :
Select
Crosswalk
Chenal Valley
Little Rock Church
University Avenue
Gateway
National Park
New Bethel
Email Address
:
Adult Shirt Size
:
Select
Small
Medium
Large
Extra Large
Emergency Contact Name
:
Emergency Contact Phone
:
Allergies
:
Medications
:
If you have any questions please contact Chad Nall at 501-455-0900 or chad@littlerockchurch.org.