Retreat Registration Form
Last Registration Day - May 5, 2023
Arrival: May 5th @ 6:00pm
Departure: May 7th @ 12:00pm
Event Information
Join us for a retreat to explore the complexities of finding grace for ourselves and others in the midst of burnout, constant productivity, and a grind-mindset society. Look forward to Saturday night Worship and our Karaoke and Retro Gaming Nights. The registration fee is $60 per person. This includes all meals, accommodations and activities. (PLEASE BRING YOUR OWN BEDDING!) This event is sponsored by the Eastern Synod Youth and Young Adult Ministry Committee.
Attendee Information
Please fill name and contact information of attendees.
Your Name
First Name
Last Name
Birthdate
-
Month
-
Day
Year
Date
Your Pronouns
Example: They, She, He
Email Address
example@example.com
Contact Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is your home congregation?
Would you like to be added to a WhatsApp group chat for more information?
Yes
No
I acknowledge that photographs/videos may be taken of attendees and may be used on social media by individual congregations or the Eastern Synod.
I consent.
I do not consent.
Emergency Contact
Name and Relationship
Phone Number
What important information do we need to know about you?
(Food information - i.e. Gluten-free or vegetarian, Accommodation information - i.e. physical accommodations or gender considerations)
Payment Information
The registration fee is $60 per person. This includes all meals, accommodations and activities. Please indicate if you would like to pay via PayPal, E-transfer or cash/cheque. Please make all payments or a payment arrangement by April 20th.
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Pay Now via Paypal
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Pay Later via E-transfer
$60.00 to be paid via e-transfer to Rev. Bonnie Schelter-Brown at pbschelterbrown@gmail.com
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Pay in Person via Cash/Cheque
$60.00 to be paid at the venue
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