REST for the Moms Retreat Registration Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Email* Spouse/Emergency Contact Name*Spouse/Emergency Contact Phone*Spouse/Emergency Contact Email*Church you attend*How did you hear about this retreat?*# of biological children?*# of foster children?*# of adopted children?*Country/Countries adopted children are from? Breakout Session #1 (choose one)*Let's Talk Filter FreePaint Your Art Out Party! (additional $15 fee for supplies)Painting Party options (select one if you have chosen this breakout session)22" Wooden Cross Shape40" Cedar Plank SignBreakout Session #2 (choose one)*Refresh and Restore with OilsFinding Rest through PrayerPayment Options*PayPalCash/CheckPayment for Retreat Fee* Price: $50.00 Quantity: Payment for Painting Party Breakout Session Option Price: $15.00 Quantity: Optional Payment for REST for the Moms Retreat T-shirt ($15.00)Shirt SizeExtra SmallSmallMediumLargeExtra LargeXXLNo shirtTotal $0.00 Cash or Check InstructionsOnce you submit your registration form, you will receive an email notification with instructions on where to send your payment. Thank you!