Young Adult Retreat Registration

Young Adults Retreat

Registration Form
Attendance Information
Name*

First NameLast Name
Gender*

MaleFemale
Select your attendance status:*
Birth Date*

MonthDayYear
Date
Age*
Please list any additional details (i.e. number of children and ages if applicable, etc.)
Will you need housing accommodations?*

YesNo
Please list any dietary needs or food allergies:
Contact Information
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
Checkout
My Products
Categories:All

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Friday AdmissionFriday Evening Pass (No Overnight Accommodations)
$25.00CAD



Saturday AdmissionDay Pass & Meals Included (No Overnight Accommodations)
$50.00CAD



Full Weekend AdmissionFriday & Saturday Overnight Accommodations & Meals Included
$85.00CAD



Alumni AdmissionDiscounted Standard Admission for Alumni of Word of Life Bible Institute
$75.00CAD



Total

$0.00CAD

Payment Methods

Debit or Credit Card

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

Young Adults Retreat