REGISTRATION - Guys Like Us Retreat 2005

Please fill out the entire form, required fields are in bold.

Name:	Year of Birth:

Address:

City:	Zip Code:

Email:	Phone Number:


Have you ever attended a Guys Like Us Retreat before?	Yes No

If Yes, which year(s) did you attend?	2002 2003 2004 2005 2006 2007


What is the best way to contact you?

Phone	Best Time to Call? OK to leave a message? Yes No
Email
Postal Mail


If you have never attended a Guys Like Us event before would you want a peer who has in the past participated to contact you to answer any questions or concerns that you have about attending the event? Yes No


What is the best way for the peer to contact you?	Phone
	Email
	Postal Mail


Transportation:
Will Transport Self Will Transport Self & Others Would Like A Ride Needs A Ride To Participate

T-Shirt Size: Small Medium Large X-Large

Any questions you have?
You will need a username and password to enter the REGISTRANT INFO section. All registrations are confirmed. You will receive an email only if you have not been approved. We will send out an email approximately two weeks before the retreat which will give you access to the schedule, directions, etc.

I have read and agree to live by the GROUND RULES, contained on this site, created by the retreat planning group and by the Kieve Learning Center.