09 FD Retreat Reg Form

GAINING THE HEARTS OF OUR DAUGHTERS

Pine Valley Bible Camp

Date: June 26-28, 2009

Cost and Deadlines
       $160   (Fathers and daughters 12 and older)
       $140   (Daughters 9-11)
       $130   (Daughters 4-8)
* Above cost are per person!!
* For two or more daughters, deduct $10/daughter
* There are limitted rooms so please hurry to reserve your room.
* Please register by June 3rd to avoid a $10 late fee.
________________________________________________________
Name of Father
________________________________________________________
Address
________________________________________________________
City State Zip
________________________________________________________
Phone
________________________________________________________
E-mail
Father’s Name ___________________________________ Cost:_________

Daughter’s Name:_________________________________ Age: _____ Cost:_______


Daughter’s Name:_________________________________ Age: _____ Cost:_______

Daughter’s Name:_________________________________ Age: _____ Cost:_______

Daughter’s Name:_________________________________ Age: _____ Cost:_______

Daughter’s Name:_________________________________ Age: _____ Cost:_______

Total Cost:__________ (Keep a photocopy of this form for your own records)

* Make check payable to:
Restore the Family
Sorry--no credit cards!
Mail to:
Restore the Family Ministries
PO Box 2881
El Cajon, CA 92021

Contact: Jake Simpson, (619) 443-8491 rtfmn@integrity.com

Click Here For Retreat Information

© 2008- Restore The Family Ministries - rtfmn@integrity.com