September 13, 2018 ALVDC Communications Back to the Mountain On-Line Application BACK TO THE MOUNTAIN – 2019 REGISTRATION Friday November 15, 4PM – Sunday November 17, Noon Back to the Mountain is a renewal event open to members of any Fourth Day Community In the spirit of VdC, please provide the following information: "Back to the Mountain - 2019" Application If you are human, leave this field blank. I am (first and last name) * I worship at (Name of Church) * I made (weekend and table, if known) * Email Address * Phone # * Gender * Male Female Street Address * City * State * Zip * Medically-necessary Dietary Requirements / Medical conditions we should know about. Allergies Room preference * Shared room - - roommate preference below Shared room - - no roommate preference Single room - If shared room, requested roommate (optional) Are stairs OK? Some rooms are on the second floor. * yes no I will pay * online mail a check Request to attend I would like to attend the upcoming Atlanta Lutheran Via de Cristo "Back to the Mountain" event.