Women’s Retreat RegistrationWomen's Retreat Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Phone*Allergies or Dietary Restrictions If you have dietary restrictions, please check here. We will contact you for further details.Payment Type*Credit CardCheckI would need financial assistance to attend the retreatRegistration Price: $90.00 The cost of registration includes food, lodging, rental of meeting facilities, and all activities.I am able to pay ____ toward the registration fee. Scholarships requests will be reviewed by women's ministry leaders and pastoral staff. You will receive an email within 7 days regarding application.I would like to provide financial assistance Total $0.00 Credit CardAmerican ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Expiration Date Security Code Cardholder Name Please write a check to "Redeemer Community Church" with "Women's Retreat" in the memo line.If giving towards scholarships, please write an additional separate check to "Redeemer Community Church" with "Scholarship" in the memo line.