Name:

Address:

Phone:

Email:

Special Dietary Restrictions:

Attending with congregation or other individuals listed here:

Total Fee Submitted:

Retreat Fee: $25 per person

Includes full-day of entertainment, plus lunch and snacks/beverages

Next Step! Online Payment (please use the link below)

Online Payment

You may also mail your payment to :
The Lutheran Church of St. Andrew
15300 New Hampshire Avenue
Silver Spring, MD 20905

(please include your registration form with payment)

For further information, contact us at

my.standrew@verizon.net or 301.384.4394.