New Medinah Retreat Event Registration

About this Event

Date: May 23-25, 2025

Peace & Blessings, this Registration Form is for individuals interested in registration and/or securing Ad space in support of the 2025 New Medinah Islamic Retreat.

If purchasing an Ad in the Souvenir Booklet, please fill out the information below, submit your logos or additional information and choose which ad level you would like to support.

Lodging accommodations can be made at

Wingate by Wyndham, 123 Plaza Drive, Hattiesburg, MS 39402 | 601-329-0842 Group Code: NEWMR2025 Deadline for reservations: May 02, 2025

Questions? Call or text at 601-543-9600.

Name*

First NameLast Name

Phone Number*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Alternate Phone #

Area CodePhone Number

Email

Please note if registering as a virtual retreat participant, this email will receive the invite link for video streaming. To use another email address please provide that email in the comments section

Business Name

Describe your Business

Submit your sized, camera ready Business ad

Browse Files

If purchasing an ad, click Browse Files to choose your image or graphic for your desired ad space

Submit any additional graphics or images

Browse Files

Click browse files here if you have a variation of an ad you wish to submit

Type of Business

REGISTER FOR NEW MEDINAH RETREAT 2025*

Adult Registration$175.00

ADULTS-(Registration, all activities/all access/all days/ 2 meal tickets, which are Jumuah dinner & Saturday banquet) Pre-Registration fees listed expire 5/15/25 at 9pm and there will be a price increase. Note: Muslim Journal Business Breakfast is a separate cost.

Quantity

Couples Registration$275.00

COUPLES - (Registration, all activities/all access/all days/ 2 meal tickets, which are Jumuah dinner & Saturday banquet) Pre-Registration fees listed expire 5/15/25 at 9pm and there will be a price increase. Note: Muslim Journal Business Breakfast is a separate cost.

Quantity

Youth Registration$60.00

YOUTH (12-17 YEARS) (Registration, all activities/all access/all days/ 2 meal tickets, which are Jumuah dinner & Saturday banquet) Pre-Registration fees listed expire 5/15/25 at 9pm and there will be a price increase. Note: Muslim Journal Business Breakfast is a separate cost.

Quantity

Youth Registration (6-11 years old)$40.00

YOUTH (6-11 YEARS) (Registration, all activities/all access/all days/ 2 meal tickets, which are Jumuah dinner & Saturday banquet) Pre-Registration fees listed expire 5/15/25 at 9pm and there will be a price increase. Note: Muslim Journal Business Breakfast is a separate cost.

Quantity

ONLINE ONLY: Muslim Journal Sunday Business Breakfast$10.00

Enjoy the **streaming** Subscription Drive event for Muslim Journal! Note: MUST be purchased separately. No breakfast with this option, you will be texted and emailed the streaming link to watch.

Quantity

ONSITE Muslim Journal Sunday Business Breakfast$30.00

Subscription Drive event for Muslim Journal! Note: MUST be purchased separately. For onsite attendance, each purchase includes one (1) breakfast plate.

Quantity

Merchandise Booth (cost per day)$75.00

MERCHANDISE BOOTH -(cost is per day, 3 AVAILABLE DAYS) call 601-620-6358 for more information

Quantity

VIRTUAL REGISTRATION$100.00

VIRTUAL REGISTRATION -"Just like you're here with us!"

Quantity

A la Carte ADULT REGISTRATION PER DAY$150.00

ADULT REGISTRATION PER DAY Pre-Registration fees listed expire 5/15/25 and there will be a price increase.

Quantity

A la Carte - COUPLES REGISTRATION PER DAY$200.00

COUPLES REGISTRATION PER DAY Pre-Registration fees listed expire 5/15/25 and there will be a price increase.

Quantity

A la Carte - YOUTH (12-17 YEARS) PER DAY$60.00

YOUTH (12-17 YEARS) PER DAY Pre-Registration fees listed expire 5/15/25 and there will be a price increase.

Quantity

A la Carte - YOUTH (6-11 YEARS) (Reg., all activities) PER DAY$40.00

YOUTH (6-11 YEARS) (Reg., all activities) PER DAY Pre-Registration fees listed expire 5/15/25 and there will be a price increase.

Quantity

A la Carte - NEW MEDINAH TOURS (ALL TOURS)$50.00

NEW MEDINAH TOURS (ALL TOURS) Pre-Registration fees listed expire 5/15/25 and there will be a price increase.

Quantity

A la Carte - FRIDAY NIGHT Culture Night$20.00

FRIDAY NIGHT Culture Night Pre-Registration fees listed expire 5/15/25 and there will be a price increase.

Quantity

A la Carte - SATURDAY NIGHT -ADULTS-COMMUNITY DINNER & BONFIRE$50.00

SATURDAY NIGHT -ADULTS-COMMUNITY DINNER & BONFIRE Pre-Registration fees listed expire 5/15/25 and there will be a price increase.

Quantity

A la Carte - SATURDAY NIGHT -ALL YOUTH-COMMUNITY DINNER & BONFIRE$45.00

SATURDAY NIGHT -ALL YOUTH-COMMUNITY DINNER & BONFIRE Pre-Registration fees listed expire 5/15/25 and there will be a price increase.

Quantity

A la Carte - COMMUNITY WIDE DINNER & BONFIRE (5 & under)$ Free

COMMUNITY WIDE DINNER & BONFIRE (5 & under) Pre-Registration fees listed expire 5/15/25 and there will be a price increase.

Quantity

CAMPING with Tent Rental Per Night- (limited number available)$30.00

CAMPING with Tent Rental Per Night- (limited number available) Early Bird Registration fees listed expire 4/15/25 at 9pm and there will be a price increase.

Quantity

CAMPING Fee Per Night (Camper has own Tent)$20.00

CAMPING Fee Per Night (Camper has own Tent) Early Bird Registration fees listed expire 4/15/25 at 9pm and there will be a price increase.

Quantity

A la Carte - MOON WALK & SLIP&SLIDE$5.00

SLIP&SLIDE Early Bird Registration fees listed expire 4/15/25 at 9pm and there will be a price increase.

Quantity

CAMPING - Sleeping Bag Rental/Each (limited number available) $10.00

CAMPING - Sleeping Bag Rental/Each (limited number available) Pre-Registration fees listed expire 5/15/25 and there will be a price increase.

Quantity

HORSEBACK RIDING (each adult/child)$10.00

HORSEBACK RIDING (each adult/child) Pre-Registration fees listed expire 5/15/25 and there will be a price increase.

Quantity

SWIMMING (per person)$5.00

SWIMMING (per person)

Quantity

Cornerstone Souvenir Book Ad$1,000.00

Cornerstone Souvenir Book Ad (mention on ALL media kits/outreach, camera-ready, full page color ad, vendor table is included, incl's vendor booth, prime Ad Book placement, 2 min banquet presentation, 30 sec vendor ad announcement @Jumu'ah)

Quantity

Corporate Souvenir Book Ad$500.00

Corporate Souvenir Book Ad (camera-ready, full page color ad, vendor table is included, incl's vendor booth, 2 min banquet presentation, 30 sec vendor ad announcement @Jumu'ah)

Quantity

Souvenir Book Full Page Ad$200.00

Souvenir Book Full Page Ad (camera-ready, black & white, vendor table not included,incl's food or merch vendor booth for 2 days, 30 sec vendor ad announcement @Jumu'ah)

Quantity

Souvenir Book Half Page ad$125.00

Souvenir Book Half Page Ad (camera-ready, black & white, vendor table not included, incl's merchandise vendor booth for 2 days, 30 sec vendor ad announcement @Jumu'ah)

Quantity

Souvenir Book Eighth Ad$25.00

Souvenir Book Eighth Page Ad (camera-ready, black & white)

Quantity

Souvenir Book Patron's Listing$10.00

Souvenir Book Patron's Listing

Quantity

Food Booth$200.00

Price increases to $250 on site

Quantity

Enter coupon

Total $0.00

Credit Card

Any questions or comments?

HOLD HARMLESS AGREEMENT

In consideration of our participation in the New Medinah Islamic Retreat activities, I/we agree to indemnify and forever hold blameless the community of Masjid Al-Halim of New Medinah, its staff, volunteers, etc. from any liability in the event of injury, etc.

I/we have read the above statement and accept the terms and conditions set forth.

I understand that paying Registration, all actvities includes 2 meal tickets, which are Jumuah dinner & Saturday banquet. I also understand Muslim Journal Business Breakfast is a separate cost.*

Yes I understand this, and proceed with registration.I am unclear on what this means. (please call Bro. Sabir at 601-543-9600 for questions)

Signature*