Covenant Community Church
For 31 Years, An Inclusive Community of Faith in the City of Birmingham, Alabama
Offering Hope + Showing Faithfulness + Sharing Joy

                                                                  

Rainbow Fish Application





RAINBOW FISH COUPLES
Participant Application

Yes, we would like to attend the couple's weekend date indicated in the form below at Camp McDowell at a cost of $275 per couple.
 
Once you successfully complete this application, you will be taken to a confirmation page with additional information and instructions.

(Fields marked with "*" reauire input)
Partner 1 Name: *
Address: *
City, State & Zip: *
Home Phone: *
Cell Phone:
Email Address: *
Partner 2 Name: *
Address: *
City, State & Zip: *
Home Phone: *
Cell Phone:
Email Address: *
Number Of years Together: *
Anniversary Date: *
Any Special needs/allergies? *
Why Are You Interested In Participating In The Weekend?: *
Are There Currently Issues In Your Relationship You Hope The Weekend Will Help Resolve? *
Which Date Would You Like to Attend?: *
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