Women's Retreat Registration Template

Flourish on the Vine

For scholarships, please contact Patti Vardanega in the office @ 503-788-7000
Please make checks payable to BSLC and return to the church office or click here to pay electronically.

Registration Fee: $95.00 for full weekenders, $58 for day timers, includes 4 meals, activities and our inspiring speaker.
Registration deadline: April 10th, 2017

Where:            The Molalla Retreat Camp & Conference Center
Address:         36208 South Molalla Forest Road Molalla, OR 97038
Check In:         6:00pm Friday April 28th, 2017
Check Out: 2:00pm Sunday April 30th, 2017

Name *

First

Last

Primary Phone *

Primary Email *

E-Signature (Full name & DOB) *

Food Allergies *

Please contact Patti in the office to find out if certain allergies can be
accommodated or if you will need to bring some of your own food.

Weekend Plan *

Full Weekender ($95) Day Timer ($58)

Interested in Carpooling? *

Yes No

Available to Drive? *

Yes No

ADA Requirements? *

Yes No

Submit Registration Form

Pay Online