Fall Retreat Sign Up
November 21-23
575 Burton Road
Greenwich, NY 12834
518-692-9550
Early Bird Registration $45 if paid by Nov 6th
Regular Registration is $55. after Nov 6th
Member Information
Fill in the information below to join the most exciting and fastest growing club on the Internet.
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First Name
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Last Name
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Cell Phone
Name of Emergency Contact
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Emergency Contact Phone Number
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Email Address
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I agree to abide by the C.W. Post Code of Conduct.
Yes
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I have the following health issues: (write none if you have none)
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I have the following allergies
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Health Insurance Company
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Health Insurance Account Number
Payment Options
Your space is not secure unless you have paid. Although you have reserved online, you are not confirmed until there is payment. Spots are only held for 48 hours with out money.
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I will pay by:
I will use a credit card online
I will pay at the chapel
To Pay Online
Retreat Nov 21-23
You may pay online if you wish. You can use any major credit card.
For Office Use Only: Receipt Number
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Indicates Response Required