Retreat Registration
Experiencing the Power of God's Word Retreat (July 1-3, 2021) Please fill in the form below.
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact
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Emergency Phone #
blank
Preference of room: (all single beds-1st come 1st served-facility has 1 room w/3 & 2 rooms w/4)
3 people to a room
4 people to a room
Downpayment
prev
next
( X )
FULL RETREAT (paid in full)
$
Free
DAY ATTENDANCE ONLY (paid in full)
$
Free
Painting w/ Lollie
$
25.00
(Optional activity) Cost $25.00. WHEN: Friday 2:15-4:00 (Must sign-up when registering in order for the local artist to purchase supplies)
Total
$
0.00
Register
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