2023 Winter Retreat Group Hold Registration

This form is to be completed by the group leader only and is for the purpose of receiving the group hold code used by every individual in a group to register for 2023 Winter Retreats.

Registration for Winter Retreat is operated through Group Hold only.

All groups planning to attend Winter Retreat at either location must have a group hold set-up before students can register online.

Please ensure that all information is accurate when filling out this form.

You may adjust your numbers as needed, but please note that as the date for the event gets closer there may be limited availability.

It is extremely important that you fill this form out as accurate to your number attending as possible. A group hold will reserve the requested number of spots for your group depending upon availability at location.

Group Leader Name At Event*

First NameLast Name

Church Name

Email*

example@example.com

Phone Number at Winter Retreat*

Please enter a valid phone number.

Church Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Winter Retreat Location*

Female Leaders

Male Leaders

Female Students

Male Students

Would you like to charge an additional fee to each student registration to cover additional costs (i.e. transportation, etc)*

YesNo

How much would you like to charge?*

Would you like to charge an additional fee to each leader registration to cover additional costs (i.e. transportation, etc)*

YesNo

How much would you like to charge?*

Would you like to cover any of the registration fees for all of your students?*

YesNo

How much would you like to cover?*

Would you like to cover any of the registration fees for all of your leaders?*

YesNo

How much would you like to cover per leader?*

Who do you want to receive reports for this event?

First NameLast Name

Email for reporting

example@example.com

After submitting this form, you will receive an email confirmation.

An additional email will be sent from our office that will include your registration Group Hold Code to be used with each registration.

If you do not hear from us within 2 business days, please contact our office directly at 715.258.8643 or admin@studentmin.com

Our office hours are M-TH, 8am to 4:30pm

If you would like to scholarship specific students or leaders-not the entire group-please email a list of names and the amount per person that you would like to scholarship absolutely no later than a week out from the Winter Retreat that you plan to attend.

All scholarship amounts are transferred to an invoice that your church is responsible to pay online prior to Winter Retreat

Scholarship info due:

Eau Claire- February 3rd at 3:00pm

Spencer Lake- February 3rd at 3:00PM

All additional fees that you choose to apply to registrations will be refunded after the event.

If you have any questions or concerns, please contact us at 715.258.8643 or admin@studentmin.com