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Registration Form
                            nd
                         82 CAB Deployed Spouses -- Strong Bonds Retreat
                                        Raleigh, NC
                                     20-22 January 2012
                                        Registration deadline 4 Jan 2012

Name:                                                                      Unit: (Battalion and Company)

Spouse’s Name/ Rank:
Home Phone:

Cell Phone:


Email Address:


Names of children attending (for childcare and          Age      Special Needs:
rooms)




        _________________________________________________
        Signature

        ** By signing this form you acknowledge your desired attendance on this retreat. Should you
        need to cancel, please do so NLT one week prior. ** If you do not attend and do not cancel you
        will not be allowed to register for future retreats**.


        Please contact your Battalion FRSA for sign-ups and information:
        Shelly McCourtney
        910 813-8550
        Shelly.mccourtney@us.army.mil

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20-22 JAN 12 Deployed Spouse Retreat Registration

  • 1. Registration Form nd 82 CAB Deployed Spouses -- Strong Bonds Retreat Raleigh, NC 20-22 January 2012 Registration deadline 4 Jan 2012 Name: Unit: (Battalion and Company) Spouse’s Name/ Rank: Home Phone: Cell Phone: Email Address: Names of children attending (for childcare and Age Special Needs: rooms) _________________________________________________ Signature ** By signing this form you acknowledge your desired attendance on this retreat. Should you need to cancel, please do so NLT one week prior. ** If you do not attend and do not cancel you will not be allowed to register for future retreats**. Please contact your Battalion FRSA for sign-ups and information: Shelly McCourtney 910 813-8550 Shelly.mccourtney@us.army.mil