Registration Form82nd CAB Deployed Spouses -- Strong Bonds Retreat

Courtyard Carolina Beach April 20 – 22nd, 2012 Registration deadline April 13, 2012

Name:

Spouse’s Name/ Rank:

Unit: (Brigade, Battalion and Company)

Home Phone:

Cell Phone:

Email Address:

Names of children attending (for childcare and rooms)

Age Special Needs:

_________________________________________________ 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 to event. ** If you do not attend and do not cancel you will not be allowed to register for other retreats**.

EVENT Point of Contact for Task Force Corsair is Shelly McCourtney. Please return registration form to shelly.mccourtney@us.army.mil

Call 910 643-7783 for more information.