Registration for The Chocolate Side of Life Retreat!

Due Date: July 11, 2008
(Sorry. No refunds after the Due Date)

Please indicate by checking the box one of the following.
Please complete registration form below for all participants and staff.
Required fields are marked with an (*).
First Name*
Last Name*
Address*
City*
State*
Zip Code
Email*
Phone Number
2008-2009 Grade
Parish
Troop#

Check One Participant $30.00     HS Staff $30.00     Adult Staff $10.00

Once you click register, you will be directed to the Preview Page to review your information.
You may also Print the page out, or wait til you get an e-mail confirmation.
There's more information on where to mail check after the Preview Page.