Young Adult Retreat Registration

Young Adults Retreat

Registration Form
Attendance Information
Name*

First NameLast Name
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.)
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*
Format: (000) 000-0000.
E-mail*
Checkout
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Friday Admission
Friday Evening Pass (No Overnight Accommodations)

$25.00CAD



Saturday Admission
Day Pass & Meals Included (No Overnight Accommodations)

$50.00CAD



Full Weekend Admission
Friday & Saturday Overnight Accommodations & Meals Included

$85.00CAD



Alumni Admission
Discounted 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