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* 1. What is your name?

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* 2. Are you certain you can be at the BreakAway Retreat (Feb. 19th-21st)? Because space is limited, we want to insure your attendance.

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* 3. Do you plan on being at the retreat (SeaKrest Lodge) the entire weekend? (Friday 5:30 p.m. through Sunday, 1:30 p.m.). This helps with the planning of menus, etc.

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* 4. List any food allergies or medical conditions you have that we need to know about.

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* 5. What is your t-shirt size?

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* 6. Do you have any dietary restrictions?

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* 7. Would you be willing to drive your car and take others with you?

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* 8. The SeaKrest Lodge is a "rustic" retreat center on the Oregon Coast. Because of the size of our group, the dormitories are filled to capacity and beyond (particularly on the girl's floor). We ask everyone to help with meal preparation and clean-up and our final site clean-up on Sunday before we leave. Are you willing and able to participate with and serve others during the BreakAway Retreat Weekend?

Registration for the BreakAway Retreat is done on a "first-response, first-served" basis. There is space for approximately 35 ladies and 20 guys. A waiting list will be created once the registration list is full. The cost is FREE!

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