Women's Retreat Registration Form

“Have Your Chocolate and Eat It Too!”

*** A $25 fee will be due at the time of registration on Saturday morning. Refreshments, breakfast and a catered luncheon will be provided at the retreat. Please remember to bring your Bible for the presentation on Saturday! We look forward to seeing you at the retreat! ***

Register below, or call 703-361-4866.

"*" Indicates a required field that must be filled in.

Full Name*
Home Address*
City, State, ZIP*
Home Phone*
E-Mail Address*
Home Church

Please Answer "Yes" or "No" to the Following:
Do You Plan on Attending the Friday Evening Fellowship?*
Do You Plan on Staying at the Comfort Suites on Friday Evening?*
Do You Plan on Attending the Saturday Breakfast Fellowship at BELC?*
Do You Plan on Attending the Chocolate Lover's Festival on Saturday Afternoon?*