Ohio Conference
United Church of Christ 

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A Day with God and Self

Spiritual Renewal Retreat for Clergy, Church Educators and Laypersons
 Prettyman Center at Pilgrim Hills Camp


Registration Form
Registration Deadline: Two weeks before retreat date

Name _________________________________________________________

Address _______________________________________________________

City ________________________________ State _____ Zip ____________

Phone _________________________________________________________
               
  (day)                                                             (evening)

Write in the date(s) of the retreat(s) you wish to attend:  ________________

$25 per retreat.  If you plan to arrive the night before, add $35 for overnight lodging and check here ____ .

Make checks payable to "Ohio Conference" and send to:

Day with God and Self
Ohio Conference UCC
6161 Busch Blvd., Suite 95
Columbus OH 43229-2547

Questions?   Call 800-282-0740, Ext. 200

To register, print form, complete and send with your check to the address above.


Day with God and Self

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