1. Healthcare

Jesus After the Cross:
The Post-Resurrection Appearances
Led by the Reverend Connie Clark, Vicar, Buck Mountain Church
BUCK MOUNTAIN WOMEN’S RETREAT 2015
FRIDAY, MAY 8 @ 4PM – SATURDAY, MAY 9 @ 4PM
Roslyn Retreat Center, 8727 River Road, Henrico, VA 23229
(804) 288 – 6045 ~ roslyncenter.org
VISIT us at buckmountainchurch.org or on Facebook for more details, or
e-mail [email protected]. Carpooling encouraged.
SCHOLARSHIPS AVAILABLE..don’t let finances stop you from coming!
Christ (as gardener) and St. Mary Magdalene
at the Tomb, by Rembrandt.
Please complete this form & return to the church office with total payment by March 31, 2015.
GENERAL INFORMATION
Name: _____________________________________________________________________________________________
Guest: _____________________________________________________________________________________________
Badge Names: ________________________________________________________________________________________
Mailing Address: _____________________________________________________________________________________
City: _______________________________________ State: ____________________ Zip: __________________________
Telephone: (
) ____________________________ E-mail: ______________________________________________
Check all that apply:
I need special accommodations. Please specify: ______________________________
I am a first time participant.
ACCOMMODATIONS
Your registration includes single room with private bath & double bed in Goodwin Lodge, dinner Friday evening and
breakfast and lunch on Saturday. The retreat center provides gluten free, vegan, and vegetarian options at each meal.
RETREAT FEES
Attendee Fee
(Must be received by 03/31/2015)
Retreat T-shirt Fee & Size(s)
(Must be received by 03/31/2015)
Shirts are 100% pre-shrunk cotton
Scholarship Info Requested
(requests are held confidential)
___ X $125 per attendee = $________
(all taxes included)
___ x $15(inc.taxes)/shirt= $______
____ Please have Rev. Connie
contact me to discuss scholarships.
Size(s): __S __M __L __XL __XXL
PAYMENT INFORMATION
PAYMENT OPTIONS (Check one): ____Check
____Cash
(Check or Cash should be submitted with the form)
Total Amount Enclosed: $____________
Make your check payable to Buck Mountain Episcopal Church (“Women’s Retreat” in memo line) and deliver with
this form to: P.O. Box 183, Earlysville, VA 22936 Telephone: 434-973-2054 buckmountainchurch.org