Registration Form

Lady Matt’s W-50 Spiritual Retreat for Women

Port Huron June 1st 2nd & 3rd

“Freedom From, Freedom to” With Claire Derks, of Fremont, Mi.

(Home group, Holton North Monday Night, Fremont, Mi.)

To room with your friends, sponsors, and sponsee’s please send in one registration form listing
the women in your group. Room assignments are on “First Come First Served Basis” to groups
that have paid their deposits in full. If you are registering only 1 or 2 women don’t worry, we
will place you with other women. All linens are provided. No food in the rooms please. You may
bring snacks for our snack table to be shared by all. FYI We are on the beach.

Directions: The Lake Huron Retreat Center is located at 8794 Lakeshore Dr., Lakeport, MI 48059.
The Retreat Center is on the East side of the street and is marked with a sign and blue and white flags.
Please visit their website at www.lakehuronretreat.org

Mail your check and registration to: Wendy Ford-Woodson 3141 Hollywood St. Dearborn, Mi. 48124.
Make those checks payable to Matt Talbot W-50.
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A deposit of $65.00 is due with your registration

For information and Scholarship’s inquiry, please contact Co-Captain Jennifer Willis @ 734-552-1740.
There are (6) six scholarships awarded in the amount of $60.00 (first come, first serve).

Circle One: CABIN: 4-6 women in a cabins with 2 bunks & 2 singles is $138 per person

LODGE: 3-4 women in the Lodge with 1 queen & 2 singles beds
3 women is $160 each and 4 women $140.00 per person

Contact name and number _____________________________________________________________________

NAME (Please Print) DEPOSIT $20 Dues (Returning Matt’s only)

1. ______________________________________________ ___________ _______ New Matt _______

2. ______________________________________________ ___________ _______ New Matt _______

3. ______________________________________________ ___________ _______ New Matt _______

4. ______________________________________________ ___________ _______ New Matt _______

5. ______________________________________________ ___________ _______ New Matt _______

6. ______________________________________________ ___________ _______ New Matt _______

Please write what you send on each line. Do not write what you owe. Thank You,
Treasury: wfordwoodson@wowway.com (Wendy F.W. 313-909-6558)