ARC Annual Retreat
Building Healthy Relationships

DATE: Friday, January 6, 2017: 10am

to

Sunday, January 8, 2017: Noon

 

LOCATION: Canyon Creek Sports Camp, Lake Hughes, Ca.

 

 

Name *
Name
Phone *
Phone
Please provide name, phone number, and relationship.
TRANSPORTATION
THERE ARE LIMITED PARKING SPACES AVAILABLE AT THE CAMP. WE WILL NOT BE ABLE TO ACCOMMODATE ALL PRIVATE VEHICLES. ANYONE NEEDING TO DRIVE SEPARATELY WILL BE ASKED TO CARPOOL OTHER MEMBERS.
Please indicate in the box below: 1) Reason for carpooling. 2) How many passengers can you take? 3)What time will you be leaving?
If so, please list your probation/parole officer's name, phone number and address? Also what county is your parole/probation in?
DIETARY RESTRICTIONS
PLEASE LIST ALL DIETARY RESTRICTIONS BELOW
ALLERGIES
PLEASE LIST ALL ALLERGIES BELOW (FOOD, PLANTS, ANIMALS, ECT..)
DO YOU HAVE ANY MEDICAL CONDITIONS WE SHOULD BE AWARE OF?
If so, please describe…
Questions?
Please add any additional questions or comments:

For further inquiry regarding ARC's annual retreat, please contact:

Kent Mendoza, Member & Community Relations Coordinator

(213) 955- 5885 or kmendoza@antirecidivism.org