First Name
*
Last Name
*
Phone
*
Phone Type
*
Cellphone
Landline
Email
*
Organization
*
Check if you are an Assemblies of God Organization
*
Have you ever held a camp or retreat at BCC in the past?
*
Yes
No
If yes, when?
Type of Retreat
*
Youth Retreat
Women's Retreat
Men's Retreat
Family Retreat
Other (Describe in the notes)
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Preferred Date
*
Type a Question
Estimated Number of Attendees
*
Package Type
*
1 Night/3 Meals (Mid-Week Only)
2 Nights/5Meals
3 Nights/8 Meals
4 Nights/11 Meals
Other (Describe in notes)
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Notes
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