WMA Of Mississippi | Ladies Retreat | Registration

Register For WMA Ladies Retreat

- Personal Information
  
  First Name: *
  
  Last Name: *
  
  Phone Number: *
  
  Email Address: *
  
  Emergency Contact Information
  
  Emergency Contact Name: *
  
  Emergency Contact Phone Number: *
  
  Arrival Information
  
  Arrival Date: *
  
  Departure Date: *
  
  Church Affiliation
  
  Church You Are Affiliated With: *
  
  Housing Information
  
  Are you staying on or off property? *
  
  Staying In Home Or Hotel? (If hotel, name of hotel): *
  
  Bunk Preference: *
  If you are staying on the Tanglewood property, do you have a bunk preference?
  
  T-Shirt Information
  
  T-Shirt Size: *
  You have the option to order a Ladies Retreat T-Shirt. Please make a selection.
  
  Dietary / Physical Needs
  
  Do You Have Any Dietary Or Physical Needs That Need Accomodation?:
  If you have any dietary or physical needs that need accomodation, please list in detail. (i.e. vegetarian, vegan, pescatarian, gluten free and/or food allergies, require wheelchair access or need special arrangements for bottom bunk/bed.)
  
  Additional Information
  
  Additional Information:
  If you have any other additional needs or request, please list them in detail. We will do our best to accomodate your requests.

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