This is the PRE-registration form for the Climate Change Event on October 26-28, 2018.  Upon pre-registering, you will receive additional information on how to submit payment to finalize your registration.  Thanks!  If you have any questions, please please call Rev. Deb Shepherd-Webster at her church phone number 626-796-0157 or use the form below to send Deb your registration directly.

Pre-Register now to save your spot. 

(This form will be removed once registration is full.)

First & Last Name *
First & Last Name
Mailing Address *
Mailing Address
Phone *
Please include your mobile, office or home phone
(This will be used to help us determine meal preparations need)
Please acknowledge:
I understand sleeping arrangements are in dormatory camp lodges on bed frames with a mattress pad, and require a sleeping bag or blankets/sheets, and your own pillow. *
Pre-registration *

First, click the Pre-Registration button (above) to save your spot for this event (One registration per person please).  Your registration will be complete only after you make payment.  Upon clicking the button above, you will be sent an email to explain where to send your check. Optionally, you may pay electronically now by clicking the button below.  Either way, we will send you additional detailed information on the retreat.