Retreat Registration Form with Payment

Retreat Registration

Please register for the retreat completing the form below, specify the expected number joining the conference.
Full Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
SMLXL2XL3XL
Registration includes: Welcome bag, Event T-shirt, Facilitated Experiences and Activiations. Travel/Accommodation costs are not included in retreat registration fee.

The final payment will need to be paid by 11:59p.m. on August 31, 2022.

Payments are non-refundable. All forfeited payments will go toward the Pivot Retreat Experience Scholarship Fund to bless a woman in transition who would like to attend the retreat nex time.

My Products

Retreat Registration - Full Price

Full payment due at time of registration

$1,000.00

Retreat Registration - Two-Pay

Balance due 1 month from initial registration date.

$500.00

Retreat Registration - Three - Pay

Payment #2 due 1 month after initial registration. Payment #3 due 2 months after initial registration.

$333.34

Total

$0.00