Mount of Olives Lutheran Church

Room Mate Request

Men's retreat 2010 registration:

Adults ( 18 and older ) $185 each

Sons ( under 21 ) $125 each - at least 14 who will be attending

Date: April 23 - 25, 2010

Where: Forest Home, 40000 Valley of the Falls Dr., Forest Falls, CA 92339

See Men's retreat page for more details

First Name:
Last Name:
Phone:
Email Address:
Number of Adults:
Number of sons:

Sons name(s):
Room Mate Request:

Please also print out and fill in the Medical Consent Form (we will put a link here) - Hand the form in to the Church Office, or to Mike Gaczkowski or Ray Melberg

It will be a great weekend! See you all there!

Questions, email or call Ray Melberg, 949 716-2449, raymond.melberg@gmail.com