2023 Hispanic Latino Leaders Retreat Presbytery of Los Ranchos Participant InformationName/Nombre* First/Primer Last/Apellido Email/Correo* Cell Phone/Teléfono móvil*Name of the Organization or Church / Nombre de la Organizacíon o Iglesia* Emergency contact name and phone number / Contacto de Emergencia* Dietary Restrictions or Any Special Requests / Restricciones dietéticas o cualquier solicitud especial Register an additional person:To register a group 3 or more people, please contact Alfredo Delgado at [email protected]. I would like to register one additional person. No Name/Nombre* First/Primer Last/Apellido Email/Correo* Cell Phone/Teléfono móvil*Name of Person's Organization or Church / Nombre de la Organizacíon o Iglesia* Dietary Restrictions or Any Special Requests / Restricciones dietéticas o cualquier solicitud especial Payment/PagoRoom Registration*No private rooms available or doubles. No hay cuartos privados o dobles para parejas. General room with 10-15 people / Cuarto general de 10-15 personas ($160 per person) Number of people registering*Please enter a number from 1 to 2.Total $0.00 Pay by:* Credit Card Pay by check (Please use this only if paying for a group, made payable to Presbytery of Los Ranchos) Credit CardCard Details Cardholder Name Total $0.00 Δ