Guys Like Us | MaineGLU.com

October 29-31, 2010
Camp Kieve, Nobleboro ME

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

Name:	Birthdate:

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?
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

Any questions or concerns you have about the retreat?
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 understand that this retreat is limited to only 20 guys and that by signing this registration form, I will make every effort to attend this retreat. If I am unable to attend the retreat, I will let the coordinators know at least a month in advance so they can allow someone on the Waiting List to attend. I understand that if I am under the age of 18, I must have permission from my parent or guardian to attend this retreat. My parent/guardian's name is: and their phone number is: