Mens Ministry Retreat

Men's Retreat 2023

September 28th-30th
Please fill out form per individual person

PRICE: $150 FOR ADULTS (13 & UP) : $75 FOR KIDS (12 & UNDER)
Full Name*

First NameLast Name
Marital Statues
Phone Number*
Format: (000) 000-0000.
E-mail*
example@example.com
Emergency Contact

First NameLast Name
Emergency Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Church*
Yes, I want to receive occasional text messagesNo, I prefer not to receive occasional text messages
YesNo
Name(s), Age(s)
First Name (Age), First Name (Age), etc
YesNo
Parents Name

First NameLast Name
Parent Phone Number*
Format: (000) 000-0000.
Parent E-mail*
example@example.com
Age
Yes, I will need transportation to and from the retreatNo, I will drive myself or carpool
Remember to bring: A Bible/notebook/pen, Sleeping bag, pillow, warm clothes Change of clothes, Clothes for Sauna, toiletries

For more information or help contact!

Andrey Gavronskiy: (253) 353-6025
David Chain: (253) 455-8702
Stan Sayenko: (253) 905-4082
I authorize Men’s Ministry/Havilah staff to give any emergency medical attention to me or my child as necessary. I will not hold Men’s Ministry Retreat and its personnel liable for any accidents or illnesses in the retreat. I am not aware of any physical or other limitations that would keep me or my child from participating in the Retreat. If my child or I develop any cold or flu like symptoms before the event I will not attend the retreat. I understand that I am responsible for my child at the retreat. No person under the age of 16 is allowed at the the event with out a parent or guardian being present. By checking below, I have read and agree with the terms indicated above

My Products

Adults

Ages 13-100

$150.00 Quantity

Kids under 13

ages 0-12

$75.00 Quantity

Donation

$50.00 Quantity

Donation

$100.00 Quantity

Donation

$200.00 Quantity

Enter coupon

Total

$0.00

Payment Methods

Credit Card

Cash App Pay

CASH
Should be Empty:

Men's Retreat 2023

Please fill out form per individual person

Payment Methods