Baruch HaShem Messianic Synagogue: Women's Retreat Registration

2008 Women's Retreat Registration

You may fill in the following information to register for the Baruch HaShem women's retreat. Registration and fees are due in the Baruch HaShem office by October 4th! Costs are not yet available, please check back later.

Note: The name and e-mail fields below are required and must be filled out in order for your message to be sent.

Your First Name (Exact Name for Insurance Purposes):

Your Last Name (Exact Name for Insurance Purposes):

Emergency Contact Phone & Name:

Your Email Address:

Your Street Address:

Your City, State, Zip:

Your Home phone:

Your Cell phone:

Your Work phone:

Indicate your choice of roommates for a motel room:

Check here if you will bring a nursing baby:

Check here if you require a first floor room:

Check here to volunteer to set up:

Check here to volunteer to mealtime set up/cleanup:

Check here to volunteer to tear down:

I need a ride:

I can offer rides for (how many?) other women.

(Note: The following indicates your intent to pay, you can not pay using this web page.)

Click here for single room registration ($TBD):

Click here for two sharing a room registration ($TBD):

Click here for three to four sharing a room registration ($TBD):

Click here for Lodge- Teens Only registration ($TBD):

(Prices above include three meals!)

Click here for Day camper ($TBD):

Click here for Zip Line ($TBD):

Any Comments and Questions:

Alternatively, you can fill out a paper sign-up form available from the office at Baruch HaShem.

You may call our office with any questions:
Our office telephone number is (972) 386-0121.

Office hours:
Monday - Thursday 10:00 AM - 5:30 PM
US Central Time

Copyright © 2005 - 2008 Baruch HaShem Synagogue