This registration form is for the 82nd CAB Deployed Spouses Strong Bonds Retreat to be held in Raleigh, NC from January 20-22, 2012. It collects contact information for soldiers, their spouses, and any children attending for childcare. Signing acknowledges attendance, and cancelling within a week allows future registration, while no-showing bars future retreat registration. Soldiers should contact the Battalion FRSA Shelly McCourtney by phone or email with questions.

1. Registration Form
nd
82 CAB Deployed Spouses -- Strong Bonds Retreat
Raleigh, NC
20-22 January 2012
Registration deadline 4 Jan 2012
Name: Unit: (Battalion and Company)
Spouse’s Name/ Rank:
Home Phone:
Cell Phone:
Email Address:
Names of children attending (for childcare and Age Special Needs:
rooms)
_________________________________________________
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. ** If you do not attend and do not cancel you
will not be allowed to register for future retreats**.
Please contact your Battalion FRSA for sign-ups and information:
Shelly McCourtney
910 813-8550
Shelly.mccourtney@us.army.mil