FLORIDA FALL RETREAT REGISTRATION FORM
Name: ___________________________________________________________
Address: _________________________________________________________
Phone Number: ____________________________________________________
Email address: _____________________________________________________
I would like to register and reserve a bed in a room for _______________________
At $21 per night.(Wed, Thurs, Fri, Sat Nights) ____nights @ $21 _________
My preference for roommate is: ________________________________________________
I would like to register for meals for the following days ______________________________
At $25 per day(Thurs, Fri, Sat) (Sun-$15 breakfast and lunch only) ____meals @$25 _________
RV parking $10 per night (please indicate what nights you want – Thursday- Saturday night)
_____nights @$10 _________
Registration Fee – FGSI Members $10
Non FGSI Members $20 _________
Below are the numbers and titles of classes I would like to take. Prices are listed on the “classes” page.
Friday morning ____________________________________________@ $____________
Friday Afternoon ___________________________________________@ $____________
Saturday Morning __________________________________________@ $____________
Saturday Afternoon _________________________________________@ $____________
Sunday Morning ___________________________________________@ $____________
TOTAL-------------------------------------------------------------------------------_______________
Make your check payable to FGSI and mail to:
Selma Carrow
P O Box 180
Hollister, FL 32147
Questions: 386-972-1321
Reservations will be taken first come, first serve and can be made via contacting me by phone or email, but money MUST be received within 30 days after making making registering. If I do not have your money within 30 days, I will notify the next person in line that there is a space available. There are NO REFUNDS, however, you can resell your spot if you are unable to make it but you must notify us if you do so.
Also, remember if you do not specify a roommate, one will be asigned.
You will not be allowed to change classes after arrival at the retreat center. No exceptions!!