HCI Next Retreat- January 2018

*First Name
*Last Name
*Email
*Church
*Which site/dates will you be attending?
Lake Okoboji UM Camp (January 5-7)
Wesley Woods UM Camp (January 26-28)
*Cost for first 3 people from a church (please check the box) ($150)
Number of additional people attending (over 3) ($25)
Only number values are allowed
Names of those attending from the church
Are there any special dietary needs or physical needs?

When you hit the register button, you will be required to pay online for the event.  Thank you in advance!

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