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2011 UUCA Family Retreat Registration Form—Please register by May 1, 2011
Please return this form via hardcopy to Anne Ferrand O’Neill at 1015 Pegram Street, Alexandria VA 22304. Our telephone number is 703-671-8956 and contact email is firstname.lastname@example.org and anne_o’email@example.com.
Registration is $5 per adult to pay for Happy Hour and the Potluck Picnic supplies.
Names of Adults
Names and Ages of Children
Preferred Email Address(es):
Phone Day Evening
Will be Camping Will be Staying in Lodge
Campsite or Room Number
Nights planning to stay: Friday Saturday
** Circle: I can lead or assist with the
-Saturday, June 18th – 10 AM Hike
-Saturday, June 18th – 4 PM Potluck Picnic
-Saturday, June 18th – Evening Walk in Big Meadows looking for deer
-Sunday, June 19th – 9:30 AM Informal Outdoor Gathering
Anything else you’d like us to know?
Please refer to the 2011 UU Family Retreat information sheet included for a schedule of activities and reservation information.