NYI RETREAT & PASTORAL TEAM RETREAT REGISTRATION

Church Name:*

Choose all registrations that apply:*

NYI RETREAT: youth workers/leaders and pastors (Sept. 22-23)PASTORAL TEAM RETREAT: pastoral staff and spouses(Sept. 23-25)PASTORAL TEAM RETEAT: Extra Sunday Night option for early arrival (Sept. 22)

NYI RETREAT Registration: Please list the name and email of all youth leaders, pastors and spouses attending.

PASTORAL TEAM RETREAT Registration: Please list the name and email of all pastors and spouses attending.

PASTORAL TEAM RETREAT: If you or someone in your group is staying the EXTRA SUNDAY NIGHT early arrival option, please list their name(s):

REGISTRATION:

NYI Retreat Couple Room Rate:Includes 1 night & 3 meals.

$340.00 Number of Couples
Item subtotal:$0.00

NYI Retreat Single or Shared Room Rate:Includes 1 night & meal costs for 1 person.

$290.00 Number of Rooms
Item subtotal:$0.00

NYI Retreat Shared Room Cost:Rooms sleep up to 4 (1 queen bed + 1 sleeper sofa) If a room is being shared, please pay $50 per person, up to 3 additional people. Price includes 1 meal for one person. (The first person must pay the "NYI Retreat Single or Shared Room Rate" of $290.00)

$50.00 Number of additional singles in shared room
Item subtotal:$0.00

Pastoral Team Retreat Couple Room Rate:Includes 2 nights, 2 breakfasts & 2 dinners.

$640.00 Number of Couples
Item subtotal:$0.00

Pastoral Team Retreat Single or Shared Room Rate:Includes 2 night, 2 breakfasts & 2 dinners for ONE person.

$420.00 Number or Rooms
Item subtotal:$0.00

Pastoral Team Retreat Shared Room CostRooms sleep up to 4 (1 queen bed + 1 sleeper sofa) If a room is being shared, please pay $220.00 per person, up to 3 additional people. Cost includes 2 breakfasts & 2 dinners for one person. (The first person must pay the "Pastoral Team Retreat Single or Shared Room Rate" of $420.00)

$220.00 Number of additional singles in shared room
Item subtotal:$0.00

Extra Sunday Night early arrival option (9/22)Breakfast on you own.

$245.00 Number of Extra Sunday Night Rooms
Item subtotal:$0.00

AFTER AUG. 16 - Pastoral Team Retreat Couple or SingleLate Registration cost for either Couple or Single Room

$700.00 Number of Rooms
Item subtotal:$0.00

Total

$0.00

If you received a coupon for paying Shares for Others in full, please enter the code shares4others here and subtract $100 from your balance owed:

If you or someone in your group has special dietary needs (celiac, gluten-free, dairy-free) please list their name(s) and diet restriction.

Form submitted by:*

First NameLast Name

Email*

example@example.com

REGISTRATION

Please indicate the NUMBER of registrations for each option.

Please submit the form and mail a check for the calculated balance.