Ladies' Retreat 2025 Registration Form

Ladies' Retreat Registration Form

Please fill out one form per participant. Thank you!
Your Birthday

MonthDayYear
Date
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Do you have any physical limitations? (for housing purposes)*

YesNo
If yes, explain
Dietary Restrictions or allergies?*

YesNo
If yes, explain
Roommate Requests

No Single-Occupancy Rooms are available. 3-4 ladies will be assigned to a room.

Please note: your requeste roommate(s) must request you!
Roommate Request 1
Roommate Request 2
Roommate Request 3
Are you willing to share a full/queen bed?*

YesNo
Are you willing to sleep in a top bunk?*

YesNo
Are you willing to be assigned to Bear Lodge?*

YesNo
Please list any workshops (crafts, classes, activities, etc) you'd be interested in participating in at this Retreat
Would you like to lead a workshop or session?*

YesNo
If yes, please list which ones below:
Cost: $125 per person
How will you be paying?*

Mailing a CheckUsing the payment form below *5% feeContinue to Give *lower transaction fee

Registration Payment

Ladies Retreat Registration

$125.00

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Credit Card

Apple Pay

Google Pay

Cash App Pay

Ladies' Retreat Registration Form