Men's Retreat Registration Form
Adult #1
*
First Name
Last Name
Adult #1 Price
Adult #2
First Name
Last Name
Adult #2 Price
Youth Names (Grade 7 - 12)
Number of Youth (please enter number of youth to calculate total price)
Number of youth
Youth (13-17)
Total Cost ($)
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Allergies
Are there any other allergy/dietary restrictions we should know about?
Where would you like to stay?
*
Cabin
RV
Tent
What is your prefered Cabin?
Please Select
Cabin 1
Cabin 2
Cabin 3
Cabin 4
Cabin 5
Cabin 6
Cabin 7
Cabin 8
Cabin 9
Cabin 10
Cabin 12
Cabin 14a
Cabin 14c
Cabin 15a
Cabin 15c
Cabin 16
Cabin 20
Cabin 21
Cabin 22
Cabin 23
Cabin 24
Cabin 25a
Cabin 25b
Cabin 26
Cabin 27a
Cabin 27b
Cabin 28
Cabin 29
Cabin 30
Cabin 31
Cabin 32
Cabin 33
Cabin 34
Cabin 35
Cabin 36
Cabin 37
Cabin 38
Cabin 39
Cabin 40
Cabin 41
Cabin 42
What is your backup cabin if your first choice is unavailable?
Please Select
Cabin 1
Cabin 2
Cabin 3
Cabin 4
Cabin 5
Cabin 6
Cabin 7
Cabin 8
Cabin 9
Cabin 10
Cabin12
Cabin 14a
Cabin 14c
Cabin 15a
Cabin 15c
Cabin 20
Cabin 21
Cabin 22
Cabin 23
Cabin 24
Cabin 25a
Cabin 25b
Cabin 26
Cabin 27a
Cabin 27b
Cabin 28
Cabin 29
Cabin 30
Cabin 31
Cabin 32
Cabin 33
Cabin 34
Cabin 35
Cabin 36
Cabin 37
Cabin 38
Cabin 39
Cabin 40
Cabin 41
Cabin 42
What is your preferred RV Site?
Please Select
A1
A2
A3
A4
B1
B2
B3
B4
C1
C2
C3
D1
D2
D3
D4
D5
D6
D7
D8
D9
E1
E2
E3
E4
What is your backup RV site if your first choice is unavailable?
Please Select
A1
A2
A3
A4
B1
B2
B3
B4
C1
C2
C3
D1
D2
D3
D4
D5
D6
D7
D8
D9
E1
E2
E3
E4
Are you bringing a personal water craft? (Boat, kayak, stand up paddle board, etc.)
*
yes
No
MLGC Media Consent & Release Declaration
I have read the MLGC Media Consent & Release Declaration and agree to its contents
*
Yes
No
Are you involved in a church community?
Yes
No
If so, what is the name of your home church?
Would you like to pay with a credit card or via e-transfer? (Our preference is e-transfer, given the fees from our credit card provider)
*
Credit Card
E-Transfer
Would you like to pay a $50 deposit or the full amount? * Full amount due two weeks prior to the start of camp
*
Deposit
Full Amount
Total Due Now ($)
Total Due at Camp ($)
Camp Registration Payment
prev
next
( X )
CAD
Description
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
I have sent my e-transfer for my deposit/full amount to mooselakegospelcamp@gmail.com
*
yes
E-Transfer Reference Number (Write CC if payment was made with cradit card)
*
Submit
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