CEF Retreat 2007 On-line Registration
Online Registration Form
* Affliated:
Stanford
Berkeley
UCSF
UC Davis
Other Church
Adults
(>12)
First Name
Last Name
Sex
Relationship
*1
Male
Female
Self
2
Male
Female
Family Member
Friend
3
Male
Female
Family Member
Friend
4
Male
Female
Family Member
Friend
Children
(<12)
First Name
Last Name
Sex
Age
1
Male
Female
2
Male
Female
3
Male
Female
4
Male
Female
Mailing Address:
* Email:
Phone Numbers:
Home:
Office :
Occupation
Profession:
Introduced by?
Who introduced you?
Which church are you from?
Faith
Christian
Non-Christian
Other
If you're a Christian, can you be a group leader?
Yes
No
Arrival time:
Friday afternoon or night
Saturday morning
Other(please specify):
Fees:
* Registration Fee:
Donation:
Transportation:
I can ONLY take care of myself;
I can give ride to
more person other than myself, from:
.
I need transportation and please pick me up from
.
Special requirements:
I Snore
Have Kid
Need Scholarship
