2025 KCPC EC On-Site Retreat Registration Form

Who: For all members of KCPC EC
When: Friday, February 21, 2025: 7pm - 9:35pm
Saturday, February 22, 2025: 9am - 4:45pm
Sunday, February 23, 2025: 10am Regular Sunday Service
Where: CCPC Sanctuary & KCPC Multi-Purpose Room

Early registration deadline: February 2, 2025
Adult: $30
College Student: $20
Children: $10 per child, with a maximum of $30 for 3 or more

Late registration deadline: February 16, 2025
Adult: $35
College Student: $25
Children: $15 per child, with a maximum of $45 for 3 or more

Please note:
Each adult will need to register separately.
Please register children under one adult.
*Childcare will be provided on Friday and Saturday.
*Friday: Snacks will be provided.
Saturday: Breakfast, lunch, and snacks will be provided.

For questions, contact katie.chung@kcpc.org.

Name

This address will receive a confirmation email

Phone

Which day(s) will you be able to attend?

Friday evening only Saturday only Both

What life stage are you in?

College (Sojourn) Young Adults Single Adults Married Empty Nesters

Please list any dietary restrictions you have.

Will you need childcare? If so, please complete below

Yes No

Child 1: Name, Age, Dietary restrictions

Child 2: Name, Age, Dietary restrictions

Child 3: Name, Age, Dietary restrictions

Child 4: Name, Age, Dietary restrictions

Registration Payment

Registration fees and additional donations will help cover costs such as meals, refreshments, childcare services, and necessary supplies.

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

2025 KCPC EC On-Site Retreat Registration Form

Description

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