GLC Women's Retreat Registration Form

Registrants First Name *

Registrants Last Name *

Address *Where you currently reside.

Mobile Number *Enter Mobile Number.

Email Address *Enter email format example@gmail.com, example@ymail.com.

Home Church *

Registration Fee: $35.00 To be paid at time of registration Payment option chosen from below:

Payment Options: • Online at GLHC1.org Click online giving at the top right hand corner of the screen/follow prompts • Via Cash App at $GLHCVISION • Zelle at Glhc@sbcglobal.net • Paying by Check, Make Payable to Gospel Lighthouse Church. Mail to: 600 Frebis Avenue, Columbus, Ohio 43206

Retreat Date: October 11, 2025 | Place: Gahanna Senior Center | Address: Gahanna Senior Center 480 Rocky Fork Blvd, Gahanna, OH 43230 (614) 342-4265