Pa Women of Worth Retreat Registration Form

The Lover Girlz Midwest Retreat

October 15-October 17, 2026
Full Name

First NameLast Name
What is your age?
Marital Status: This is for the purpose of our workshops each day
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number

Area CodePhone Number
Text Message Option
E-mail
Lodging Accomodations:

All rooms and bathrooms are shared.

Linens and towels are provided.

Room Assignments:

Roomates will be assigned unless you indicate that your preferred roomate has or will be registering. Please be sure to enter that information

*This retreat was meant to be small and intimate there are only 20 available spots outside of the Hosts*

YOU WILL BE RESPONSIBLE TO CLEAN THE ROOM AND BATHROOMS. Cleaning supplies are provided.
Are you registering with a preferred roommate who has or will be registering too? If so, please put their name below so that we can pair you together when rooms are assigned.
For any questions regarding the retreat please email us or use our Contact us page and someone will return your inquiry within 48hrs.

The Council of Truth & Lover Girlz

Emai: iamapostlej@gmail.com

Website: www.pinkmoney.org/events

Instagram: www.instagram.com/thebossmentorj
The Retreat Cost is $500 for your 3day stay you must make at least a minimum deposit payment of $150 to hold your spot (space is limited) afterwards you can make payments in the amount of your choice until you registration is paid in full.

Final Payment must be received by August 1st and all payments are NON-REFUNDABLE. If payment in full has been made but you are unable to attend due to emergency circumstances you can transfer to another guest or keep as a credit for our next event.

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The Lover Girlz Midwest Retreat

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