Today's Christian Women's Retreat

Speakers & Entertainment

Afternoon Activities

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Security Code:	Security code?

Your Name:	(as it will appear on your name tag)
	Speaker at the retreat.
	I am bringing a nursing infant

Address:
City:	State: Zip:
	Check here if this is a new address.

Home Phone:	( )
Email:

Church Name:
City/State:

Table requests: With no guarantees other than we will do our best, you may make requests to be seated with other rooms. Tables do hold ten, so you may make requests with that in mind. Please enter the names of the people from a complete room that you'd like at your table:

Breakout Sessions & Optional Activities
Choose 3 of the 4 Sessions. Click here for Details.

	Session 1 - Phil and Vicki Boileau	Session 2 - Kay Himm
	Session 3 - Sarah Malchow	Session 4 - Gary Gilgen

Choose only 1.
	Saturday Bible Study	Wine Tasting ($10)

T-Shirts:

Please note that shirt orders placed after February 26 will be filled as possible and are not guaranteed. Click here for Pictures.

Please enter the quantity.

Olive Long Sleeve Tees ($12):

MED

XXL

Eggplant Long Sleeve Tees ($12):

MED

XXL

Olive Short Sleeve Tees ($10):

MED

XXL

Eggplant Short Sleeve Tees ($10):

MED

XXL

Roommates: include possible roommates
NEW! The hotel requires that we list the names of the retreat and non-retreat guests staying in your room. Please indicate if your roommate is non-retreat guest.
Room Captains! Please send your credit card information or check ($96.00 payable to Lexington Lansing Hotel) to Sandra Adkins, 305 Atwater, Lake Orion, MI 48362 (Phone: 248-842-1178). Download Form Here.
#1:	Is Room Captain	Non-Retreat
#2:	Is Room Captain	Non-Retreat
#3:	Is Room Captain	Non-Retreat
#4:	Is Room Captain	Non-Retreat
#5:	Is Room Captain	Non-Retreat

Registration #2


Your Name:	(as it will appear on your name tag)
	Speaker at the retreat.
	I am bringing a nursing infant

Address:
City:	State: Zip:
	Check here if this is a new address.

Home Phone:	( )
Email:

Church Name:
City/State:

Table requests: With no guarantees other than we will do our best, you may make requests to be seated with other rooms. Tables do hold ten, so you may make requests with that in mind. Please enter the names of the people from a complete room that you'd like at your table:

Breakout Sessions & Optional Activities
Choose 3 of the 4 Sessions. Click here for Details.

	Session 1 - Phil and Vicki Boileau	Session 2 - Kay Himm
	Session 3 - Sarah Malchow	Session 4 - Gary Gilgen

Choose only 1.
	Saturday Bible Study	Wine Tasting ($10)

T-Shirts:

Please note that shirt orders placed after February 26 will be filled as possible and are not guaranteed. Click here for Pictures.

Please enter the quantity.

Olive Long Sleeve Tees ($12):

MED

XXL

Eggplant Long Sleeve Tees ($12):

MED

XXL

Olive Short Sleeve Tees ($10):

MED

XXL

Eggplant Short Sleeve Tees ($10):

MED

XXL

Roommates: include possible roommates
NEW! The hotel requires that we list the names of the retreat and non-retreat guests staying in your room. Please indicate if your roommate is non-retreat guest.
Room Captains! Please send your credit card information or check ($96.00 payable to Lexington Lansing Hotel) to Sandra Adkins, 305 Atwater, Lake Orion, MI 48362 (Phone: 248-842-1178). Download Form Here.
#1:	Is Room Captain	Non-Retreat
#2:	Is Room Captain	Non-Retreat
#3:	Is Room Captain	Non-Retreat
#4:	Is Room Captain	Non-Retreat
#5:	Is Room Captain	Non-Retreat

Registration #3


Your Name:	(as it will appear on your name tag)
	Speaker at the retreat.
	I am bringing a nursing infant

Address:
City:	State: Zip:
	Check here if this is a new address.

Home Phone:	( )
Email:

Church Name:
City/State:

Table requests: With no guarantees other than we will do our best, you may make requests to be seated with other rooms. Tables do hold ten, so you may make requests with that in mind. Please enter the names of the people from a complete room that you'd like at your table:

Breakout Sessions & Optional Activities
Choose 3 of the 4 Sessions. Click here for Details.

	Session 1 - Phil and Vicki Boileau	Session 2 - Kay Himm
	Session 3 - Sarah Malchow	Session 4 - Gary Gilgen

Choose only 1.
	Saturday Bible Study	Wine Tasting ($10)

T-Shirts:

Please note that shirt orders placed after February 26 will be filled as possible and are not guaranteed. Click here for Pictures.

Please enter the quantity.

Olive Long Sleeve Tees ($12):

MED

XXL

Eggplant Long Sleeve Tees ($12):

MED

XXL

Olive Short Sleeve Tees ($10):

MED

XXL

Eggplant Short Sleeve Tees ($10):

MED

XXL

Roommates: include possible roommates
NEW! The hotel requires that we list the names of the retreat and non-retreat guests staying in your room. Please indicate if your roommate is non-retreat guest.
Room Captains! Please send your credit card information or check ($96.00 payable to Lexington Lansing Hotel) to Sandra Adkins, 305 Atwater, Lake Orion, MI 48362 (Phone: 248-842-1178). Download Form Here.
#1:	Is Room Captain	Non-Retreat
#2:	Is Room Captain	Non-Retreat
#3:	Is Room Captain	Non-Retreat
#4:	Is Room Captain	Non-Retreat
#5:	Is Room Captain	Non-Retreat

Registration #4


Your Name:	(as it will appear on your name tag)
	Speaker at the retreat.
	I am bringing a nursing infant

Address:
City:	State: Zip:
	Check here if this is a new address.

Home Phone:	( )
Email:

Church Name:
City/State:

Table requests: With no guarantees other than we will do our best, you may make requests to be seated with other rooms. Tables do hold ten, so you may make requests with that in mind. Please enter the names of the people from a complete room that you'd like at your table:

Breakout Sessions & Optional Activities
Choose 3 of the 4 Sessions. Click here for Details.

	Session 1 - Phil and Vicki Boileau	Session 2 - Kay Himm
	Session 3 - Sarah Malchow	Session 4 - Gary Gilgen

Choose only 1.
	Saturday Bible Study	Wine Tasting ($10)

T-Shirts:

Please note that shirt orders placed after February 26 will be filled as possible and are not guaranteed. Click here for Pictures.

Please enter the quantity.

Olive Long Sleeve Tees ($12):

MED

XXL

Eggplant Long Sleeve Tees ($12):

MED

XXL

Olive Short Sleeve Tees ($10):

MED

XXL

Eggplant Short Sleeve Tees ($10):

MED

XXL

Roommates: include possible roommates
NEW! The hotel requires that we list the names of the retreat and non-retreat guests staying in your room. Please indicate if your roommate is non-retreat guest.
Room Captains! Please send your credit card information or check ($96.00 payable to Lexington Lansing Hotel) to Sandra Adkins, 305 Atwater, Lake Orion, MI 48362 (Phone: 248-842-1178). Download Form Here.
#1:	Is Room Captain	Non-Retreat
#2:	Is Room Captain	Non-Retreat
#3:	Is Room Captain	Non-Retreat
#4:	Is Room Captain	Non-Retreat
#5:	Is Room Captain	Non-Retreat

Registration #5


Your Name:	(as it will appear on your name tag)
	Speaker at the retreat.
	I am bringing a nursing infant

Address:
City:	State: Zip:
	Check here if this is a new address.

Home Phone:	( )
Email:

Church Name:
City/State:

Table requests: With no guarantees other than we will do our best, you may make requests to be seated with other rooms. Tables do hold ten, so you may make requests with that in mind. Please enter the names of the people from a complete room that you'd like at your table:

Breakout Sessions & Optional Activities
Choose 3 of the 4 Sessions. Click here for Details.

	Session 1 - Phil and Vicki Boileau	Session 2 - Kay Himm
	Session 3 - Sarah Malchow	Session 4 - Gary Gilgen

Choose only 1.
	Saturday Bible Study	Wine Tasting ($10)

T-Shirts:

Please note that shirt orders placed after February 26 will be filled as possible and are not guaranteed. Click here for Pictures.

Please enter the quantity.

Olive Long Sleeve Tees ($12):

MED

XXL

Eggplant Long Sleeve Tees ($12):

MED

XXL

Olive Short Sleeve Tees ($10):

MED

XXL

Eggplant Short Sleeve Tees ($10):

MED

XXL

Roommates: include possible roommates
NEW! The hotel requires that we list the names of the retreat and non-retreat guests staying in your room. Please indicate if your roommate is non-retreat guest.
Room Captains! Please send your credit card information or check ($96.00 payable to Lexington Lansing Hotel) to Sandra Adkins, 305 Atwater, Lake Orion, MI 48362 (Phone: 248-842-1178). Download Form Here.
#1:	Is Room Captain	Non-Retreat
#2:	Is Room Captain	Non-Retreat
#3:	Is Room Captain	Non-Retreat
#4:	Is Room Captain	Non-Retreat
#5:	Is Room Captain	Non-Retreat

Registration #6


Your Name:	(as it will appear on your name tag)
	Speaker at the retreat.
	I am bringing a nursing infant

Address:
City:	State: Zip:
	Check here if this is a new address.

Home Phone:	( )
Email:

Church Name:
City/State:

Table requests: With no guarantees other than we will do our best, you may make requests to be seated with other rooms. Tables do hold ten, so you may make requests with that in mind. Please enter the names of the people from a complete room that you'd like at your table:

Breakout Sessions & Optional Activities
Choose 3 of the 4 Sessions. Click here for Details.

	Session 1 - Phil and Vicki Boileau	Session 2 - Kay Himm
	Session 3 - Sarah Malchow	Session 4 - Gary Gilgen

Choose only 1.
	Saturday Bible Study	Wine Tasting ($10)

T-Shirts:

Please note that shirt orders placed after February 26 will be filled as possible and are not guaranteed. Click here for Pictures.

Please enter the quantity.

Olive Long Sleeve Tees ($12):

MED

XXL

Eggplant Long Sleeve Tees ($12):

MED

XXL

Olive Short Sleeve Tees ($10):

MED

XXL

Eggplant Short Sleeve Tees ($10):

MED

XXL

Roommates: include possible roommates
NEW! The hotel requires that we list the names of the retreat and non-retreat guests staying in your room. Please indicate if your roommate is non-retreat guest.
Room Captains! Please send your credit card information or check ($96.00 payable to Lexington Lansing Hotel) to Sandra Adkins, 305 Atwater, Lake Orion, MI 48362 (Phone: 248-842-1178). Download Form Here.
#1:	Is Room Captain	Non-Retreat
#2:	Is Room Captain	Non-Retreat
#3:	Is Room Captain	Non-Retreat
#4:	Is Room Captain	Non-Retreat
#5:	Is Room Captain	Non-Retreat

Registration #7


Your Name:	(as it will appear on your name tag)
	Speaker at the retreat.
	I am bringing a nursing infant

Address:
City:	State: Zip:
	Check here if this is a new address.

Home Phone:	( )
Email:

Church Name:
City/State:

Table requests: With no guarantees other than we will do our best, you may make requests to be seated with other rooms. Tables do hold ten, so you may make requests with that in mind. Please enter the names of the people from a complete room that you'd like at your table:

Breakout Sessions & Optional Activities
Choose 3 of the 4 Sessions. Click here for Details.

	Session 1 - Phil and Vicki Boileau	Session 2 - Kay Himm
	Session 3 - Sarah Malchow	Session 4 - Gary Gilgen

Choose only 1.
	Saturday Bible Study	Wine Tasting ($10)

T-Shirts:

Please note that shirt orders placed after February 26 will be filled as possible and are not guaranteed. Click here for Pictures.

Please enter the quantity.

Olive Long Sleeve Tees ($12):

MED

XXL

Eggplant Long Sleeve Tees ($12):

MED

XXL

Olive Short Sleeve Tees ($10):

MED

XXL

Eggplant Short Sleeve Tees ($10):

MED

XXL

Roommates: include possible roommates
NEW! The hotel requires that we list the names of the retreat and non-retreat guests staying in your room. Please indicate if your roommate is non-retreat guest.
Room Captains! Please send your credit card information or check ($96.00 payable to Lexington Lansing Hotel) to Sandra Adkins, 305 Atwater, Lake Orion, MI 48362 (Phone: 248-842-1178). Download Form Here.
#1:	Is Room Captain	Non-Retreat
#2:	Is Room Captain	Non-Retreat
#3:	Is Room Captain	Non-Retreat
#4:	Is Room Captain	Non-Retreat
#5:	Is Room Captain	Non-Retreat

Registration #8


Your Name:	(as it will appear on your name tag)
	Speaker at the retreat.
	I am bringing a nursing infant

Address:
City:	State: Zip:
	Check here if this is a new address.

Home Phone:	( )
Email:

Church Name:
City/State:

Table requests: With no guarantees other than we will do our best, you may make requests to be seated with other rooms. Tables do hold ten, so you may make requests with that in mind. Please enter the names of the people from a complete room that you'd like at your table:

Breakout Sessions & Optional Activities
Choose 3 of the 4 Sessions. Click here for Details.

	Session 1 - Phil and Vicki Boileau	Session 2 - Kay Himm
	Session 3 - Sarah Malchow	Session 4 - Gary Gilgen

Choose only 1.
	Saturday Bible Study	Wine Tasting ($10)

T-Shirts:

Please note that shirt orders placed after February 26 will be filled as possible and are not guaranteed. Click here for Pictures.

Please enter the quantity.

Olive Long Sleeve Tees ($12):

MED

XXL

Eggplant Long Sleeve Tees ($12):

MED

XXL

Olive Short Sleeve Tees ($10):

MED

XXL

Eggplant Short Sleeve Tees ($10):

MED

XXL

Roommates: include possible roommates
NEW! The hotel requires that we list the names of the retreat and non-retreat guests staying in your room. Please indicate if your roommate is non-retreat guest.
Room Captains! Please send your credit card information or check ($96.00 payable to Lexington Lansing Hotel) to Sandra Adkins, 305 Atwater, Lake Orion, MI 48362 (Phone: 248-842-1178). Download Form Here.
#1:	Is Room Captain	Non-Retreat
#2:	Is Room Captain	Non-Retreat
#3:	Is Room Captain	Non-Retreat
#4:	Is Room Captain	Non-Retreat
#5:	Is Room Captain	Non-Retreat

Retreat Payment Section:
Wednesday, March 10, 2010
Early Bird: $120.00 by February 6, 2010 Regular: $130.00 by February 26, 2010 Late: $160.00 after February 26, 2010

Retreat Registration Late Fee:
	$160.00
	$160.00
	$160.00
	$160.00
	$160.00
	$160.00
	$160.00
	$160.00
Wine Tasting	$0.00
Olive LONG-sleeve Tees: - 0 x $12	$0.00
Eggplant LONG-sleeve Tees: - 0 x $12	$0.00
Olive SHORT-sleeve Tees: - 0 x $10	$0.00
Eggplant SHORT-sleeve Tees: - 0 x $10	$0.00
Retreat Scholarship Fund Contribution (optional)	$

Total Dollar Amount:	$160.00

Online Registration