Elizabeth River District Men's Ministry
Thursday, March 28, 2024
Ministering To Men Along The Elizabeth River

Elizabeth River Men's 2017 Fall Retreat Registration Form

POWER UP ‘17

 

Elizabeth River District Men’s Spititual Retreat Registration Form

 

November 4, 2017 Check In: 8:00 am Closing: 5:00 pm

 

Contact Info: David Collins (757) 420-1958 djcoll@icloud.com

Mail registration form & check to: ERD UMM, c/o David Collins 400 S. Military, Hwy, Apt. 1105, Virginia Beach, VA 23464

 

NAME:   FIRST ________________ LAST ____________________

 

NICKNAME / NAME FOR BADGE ______________________

 

 

 

CHURCH OR FELLOWSHIP AFFILIATION ___________________________ NONE ______

 

 

 

UNITED METHODIST CHURCH DISTRICT:   ELIZABETH RIVER _____

EASTERN SHORE _____ YORK RIVER _____ OTHER _______________

 

 

 

CONTACT INFO:  MAILING ADDRESS:___________________________________

 

EMAIL ADDRESS ____________________________

 

PHONE (______) ______ - _________

 

FOR PLANNING: AGE ________

 

 

 

PAYMENT METHOD:   CASH _____ CHECK _____ (MAKE $35.00 CHECKS PAYABLE TO ERD UMM)

 Mail registration form & check to: ERD UMM, c/o David Collins 400 S. Military, Hwy, Apt. 1105, Virginia Beach, VA 23464

 

 

LUNCH: PORK _____ CHICKEN _____ (BAR-B-QUE WILL BE SERVED UNLESS CHICKEN IS DESIGNATED)

 

**I HAVE SPECIAL DIETARY NEEDS ________________________________________________

 

The Retreat will be held at:   

Oak Grove United Methodist Church, 472 N. Battlefield Blvd, Chesapeake, VA 23320