Men's Retreat Registration
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Phone Number
*
-
Area Code
Phone Number
E-mail
*
Your Church
If you or anyone in your group has any of the Food Allergies listed below, please record the number for each allergy.
Number of People
Gluten Free
Dairy Free
Please list any other Food Allergies you or your group has, and the number of each.
If you have any questions related to Food Service, please email the office at camp@nli.org
Please select any activities you would be interested in. Not all activities will be available.
Archery Tag
Mini Golf
Volleyball
Archery Range
Hammocks
High Ropes
Registering anyone besides yourself?
*
Yes
No
Attending
Full Retreat, Friday & Saturday - $55.00
Friday Night Only - $25.00
Saturday Only - $35.00
Please record the total number in your group.
List all registrants in your group, including yourself.
Would you like to pay now through PayPal?
Yes
No
If paying now through PayPal, please enter totals for each option.
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Men's Retreat, Friday and Saturday
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Men's Retreat, Friday Night Only
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Men's Retreat, Saturday Only
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