AQN Fall Retreat Registration & Payment Deadline: October 12, 2022 "*" indicates required fields Name* First Last Phone*Email* City* Meal ChoicesNOTE: There will be no Thursday lunch, everyone will be on their own. (Meeting starts at 1:00p with set up at 12:30p)Thursday Dinner: AgapĂ© Mediterranean Buffet*The buffet includes Rice Bowls, Salads, choice of chicken or vegetarian with two sauces, five topping spreads, two dips with pita chips and a baklava tray for dessert. Chicken Vegetarian I’m flexible! I will not be attending. Friday Lunch: Panera*Please visit Panera Bread’s boxed lunches menu (link will open in a new tab). You may choose from Sandwich Boxed Lunch, Salad Boxed Lunch, or You Pick Two Boxed Lunch. EACH box lunch includes a cookie. Sandwiches are all cold and have pickles with chips or optional apple. Salads come with a whole grain baguette. Half & half you must indicate the sandwich & salad you want. Click on Description under the box lunch you want to order to see what the meal contains. We will furnish the drinks. ***Please write below which box lunch you would like and any special requests (for example apples instead of chips and half & half details). Do not actually order your lunch from the website. We will place all the orders as a group and have them delivered. If you will not be attending Friday lunch, please note this in the space below.Friday Dinner: Hunan Lion Chinese*Dinner selections include a variety of chicken, shrimp and vegetarian items plus a combination appetizer sampler. Chicken Shrimp Vegetarian I’m flexible! I will not be attending. No Saturday Lunch: Lunch is on your own at local restaurants in small groups prior to afternoon activities.Saturday Dinner*Pizza & salad at the hotel. I will be attending I will not be attending Dietary NeedsPlease indicate any dietary needs. Vegetarian Vegan Fish No Fish Food Allergies Please list any allergies or food requests here:Retreat CheckoutRetreat Registration Fee*For this retreat only there will be no charge for meals. Price: Total Payment Option* Check PayPal Please hit the submit button to submit your form. Once you submit your form, you will receive a confirmation message and information on where to mail your check. We look forward to seeing you!Please hit the submit button below and you will be redirected to the PayPal website to complete payment. PhoneThis field is for validation purposes and should be left unchanged.
