Blank Check Retreat Registration Form

Blank Check Retreat - Registration Form
Address
City
State/Province
Zip/Postal
Country
Please write the name(s) of the young women you would like to share a room/dorm with
Please note an additional fee is added for payments through PayPal. If you prefer not to pay the additional fee, please mail in the $10 non-refundable deposit or $60 full payment. Your spot will only be secured once we receive the non-refundable deposit. The remaining balance is due upon arrival. The remaining balance: $50 is due upon arrival