Day with God and Self Registration Form

Ohio Conference
United Church of Christ

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___________________________________________________________________________
(work) (home)

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

Click here for available dates.

$25.00 per retreat. If you plan to arrive the night before, add $34.00 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

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