2018 CCCTO Women’s Retreat Registration
2018 CCCTO Women’s Retreat Registration
WHEN: November 9 -11 (Friday- Sunday)
WHERE: Residence Inn Oxnard River Ridge at 2101 West Vineyard Ave., Oxnard, California 93036
COST: Early Bird $205 (by 9/16), Regular $225 (by 10/21)
Please complete one form per retreat attendee.
Registration fee includes two nights hotel suite stay and four meals (Saturday - Breakfast, Lunch, Dinner and Sunday - Breakfast)
First Name  * 
Last Name  * 
Chinese Name (Optional)
Age Group  * 
Street Address  * 
City/State/ Zip Code  * 
Phone Number (where you can be reached during retreat)  * 
Emergency Contact Name  * 
Emergency Contact Phone #  * 
Relationship to Emergency Contact
Church You Currently Attend  * 
If other please specify full church name:
Roommate Preference - Please provide 2 names. Skip if no preference.
Are you willing to sleep on a sofa bed?
Do you have physical difficulties using stairs? (The hotel does not have an elevator and we have suites on the 2nd floor.)
Would you like to volunteer in other ways during the retreat?
Preferred Language for Small Group Arrangement  * 
If other please specify:
Would you like to be a small group leader?
What language do you prefer to lead in?
Food Selection for Saturday's Plated Dinner - All entrees include Caesar Salad, seasonal vegetables, garlic mashed potatoes and dessert.
Options: (1) TRI TIP – Thinly sliced topped w/ garlic sauce (2) SALMON - Pan seared/baked salmon fillet w/ lemon caper sauce (3) PORTOBELLO MUSHROOM - vegan & gluten free
Dinner options: (select one)
Special Dietary Requests:
If you can drive others how many additional seats are available in your car?
Please make checks payable to CCCTO. Memo: Women's Retreat.
For any scholarship requests or additional questions please feel free to email us at ccctowomensretreat@gmail.com.
Partial Payment or Additional Donation (please enter amount) $ 
Your Email Address  * 
Total $
Online Giving Powered by Easy Tithe