2010 West Virginia Disciples Women's Spiritual Life Retreat  

Downloads:   Standard Legal-Size Brochure (8.5x14)        Letter-size Registration Only (no information)       Promotional Flyer
          All downloadable forms are in .pdf format.  Flyer is 8.5x11 color, but will also print in black and white.

Online Registration and Payment:  You may register using the form below and mail your check to "CCWV", 1402 Washington Ave.,
Parkersburg, WV 26101, or pay by credit card (instructions will be emailed to you).
Online Retreat Registration
* Required Field
Address:
Your name:
*
*
City:
Email:
*
*
Church
City:
State:
Zip Code:
*
*
*
Church
Name:
Birth
Month/Date
Name for
Badge
*
*
Other Ph:
Home Ph:
Cell Ph:
Interest Groups
Please indicate one 90-minute group you would
like to attend.

Amazing Disciples Race: A physical game,
challenging each other to have a good time.    
  —
Jennifer Allen

The Lovely Face of Books: The Faith Club:  
Discussion for those who have read the book,
which is widely available.  
 —Andrea Beeson and
Betty Beeson

Serving the Faces of the Community: Service
opportunities in local communities.     
—Rae
Browning

The Changing Face of Spirituality: New ways of
growing in the Spirit.
—Judy Bennett

The Face of Tai Chi:  Ancient practice of
thoughtful movement.
   —Mae Seaman

The Face of Disciples Missions: How we are
reaching out “from our doorsteps to the ends of
the earth”.
—Ann Hamm and Caren Combs

Working with Clay  ($5 supply fee): Get crafty with
your hands.
 —Patty Hoffman and Rachel Ball

Walking the Labyrinth: Spend time in a quiet
journey with God and self.
—Dawna Watkins
Need
Shuttle?  y/n
First
Retreat?  y/n
Cost Summaries:
Carefully follow instructions below, and indicate whether you are mailing a
check or paying online.  Instructions will be sent to you for online payment
within 3 days of receiving your completed information.
From the cost guide below, please indicate
your Lodging choice in comment box below,
indicating which night(s) and total due.  
Those note sleeping on campus, please add
$5 usage fee:
LODGING:



MEALS:



CHILD-CARE:



CRAFTING:


REGISTRATION:
$15

TOTAL DUE:
From the cost guide below, please indicate
your Meal choices in comment box below,
indicating total due:
From the child-care cost guide below,
indicate total due for child(ren), and list
names and ages of children in comment box
(below):
Add Craft Fee, if any (see listing at left) and
note craft or interest group preferences in
comment box (below):
Add $15 per participant
Indicate total due, including $15 registration,
and please
double-check your math:
Method of Payment:
I will mail a check (before Aug. 20)
Please send instructions for online
payment (you must include your email
address for this option)
Details, room-mate requests,  comments, or feedback:
Room-Mate Requests:
Please indicate your choice of
room-mate and be sure to check with
that person, so that they will indicate
your name.  Use comment box at left.
Thank you for your participation.
If you have trouble with the online
registration system, please contact
Rev. David Chafin at 304-428-1681 or
email him.
Lodging
Mountaineer Dorm (4-6 persons per room)
___ $14 Friday (per person)
___ $14 Saturday (per person)
Mountaineer Motel (2 persons per room)
___ $23 Friday (per person)
___ $45 Friday (private)
___ $23 Saturday (per person)
___ $45 Saturday (private)
Cedars Motel (2 persons per room)
___ $23 Friday (per person)
___ $45 Friday (private)
___ $23 Saturday (per person)
___ $45 Saturday (private)

Holt Lodge (2 persons per room)
  SORRY - Sold Out

Main Motel (2 persons per room)
___ $23 Friday (per person)
___ $45 Friday (private)
___ $23 Saturday (per person)
___ $45 Saturday (private)
M
ain Dorm (4-6 persons per room)
___ $14 Friday (per person)
___ $14 Saturday (per person)
Meals
___ $8  Friday Dinner (5:00 p.m.)
___ $6  Saturday Breakfast
___ $7  Saturday Lunch
___ $8  Saturday Dinner
___ $6  Sunday Breakfast
___ $7  Sunday Lunch
CHILD-CARE:   For Ages 2-10
If your child requires a separate bed from mom’s, the cost will
be the same as for the mother.  Meals are 1/2-price through
age 12.

Indicate child's name and age, mother's name and a cell phone
(if available) for mother in the comment box, as well as meal
and room needs:

Meals:  ___$4 Fri. Dinner             ___ $3 Sat. Breakfast     
            ___$3.50 Sat. Lunch     ___$4 Sat. Dinner        
           ___$3 Sun. Breakfast     ___$3 Sun. Lunch   
     
Room:   ___ Requires a separate bed   
     Total: $_____  (enter same amount as adult lodging)
        ___ Child will share mother’s bed (no charge)