Neabsco Baptist Church

15557 Cardinal Dr. Dale City, VA. 22191

(703)-670-3331

Register for the 2019

Men's Retreat 

Theme: Men Sacrificing All for Jesus Christ

Full Name: *
First Name
Middle
Last Name
Address: *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Phone Number:*
Email:*
Name of Church, you are a member:
Your Age:
Is this the first NBC Men's Retreat you would be attending?
Please explain if you have any special diet restrictions:
What size room will you need for the retreat? *
How do you plan to travel to the retreat?