PRINTABLE REGISTRATION FORM


Name __________________________________________________

Street ________________________________________________

City __________________________________________________

State _________________________________________________

Zip ___________________________________________________

Home Phone ____________________________________________

Work Phone ____________________________________________

Date of Retreat you wish to attend:

_______________________________________________________

• A non-refundable deposit of $30.00 for each person is required with your reservation.

• Please make checks payable to: Christ the King Retreat Center

• Mailing Address: Christ the King Retreat Center / 621 1st Ave. South / Buffalo, Minnesota 55313

• Phone: 763-682-1394 or 763-682-3453

• Email: christtheking@kingshouse.com

• Website: www.kingshouse.com