Men's Retreat

Men's Retreat
CONTACT INFORMATION
Church Name*
Church City*
Church State*
Church Address (optional)

Street Address

Mailing Address

CityState / Province

Postal / Zip Code
Primary Contact*
Primary Contact Phone Number*
Please enter a valid phone number.
Contact Email*
example@example.com
REGISTRATION
(Check the boxes that apply. Unchecked box will not be added to the total.)
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# of Men Lodging at Camp(Do not include free Pastor)
$50.00 Quantity



FREE PastorOnly 1 per church
$ Free Quantity



Friday Only (no overnight)
$20.00 Quantity



Saturday Only (no overnight)
$20.00 Quantity



# of Men Lodging Off Campus
$45.00 Quantity



Total

$0.00
*Please make sure each person in your group submits a waiver of liability. Both a printable version AND an online version (new this year!) are available on our website under the Resources tab.
Preferred On-Campus Lodging (not guaranteed)

CabinDormEither
When is free pastor attending? If you are not registering him on this form, please select "Not applicable".*

Both days (on campus)Both Days (off campus)Friday onlySaturday onlyNot applicable
Notes / Special Requests:
*if you do not receive a confirmation email after submitting this form, please contact secretary@hoosierhillsbaptistcamp.org to let us know.

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.