Participant Registration

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To register for a WOW Retreat, fill out the form below. If you are paying with a credit card or debit card, you will receive a call within a week to process your payment.

Fee is waived for women in the military (Active duty, guard, reserves, veterans) and wives/significant others of service personnel.

Scholarships and volunteer opportunities are available; please call 304-293-2895 for more information.

 

First Name (required)

Last Name (required)

Your Email (required)

Phone Number (required)

Address

City

State

Zip Code

Event Location (required)

Payment Method (required)

Make Checks Payable to: WVU Center of Excellence in Women'sā€™ Health
Please Send Checks to:
ATTN: Betty Critch
P.O. Box 9203
Morgantown, WV 26506

Would like to sponsor a woman to attend the event? (required)

If you are a student you must put your instructor's name below, Otherwise, leave blank:

If you are affiliated with the military, please choose which branch below (if applicable)

Describe your military affiliation below (if applicable)

Addition Comments:

Please type the following characters for security purposes
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