2025 Transitional Interim Ministry Retreat
St. Anthony Retreat Center - Three Rivers, CA - January 27-29, 2024
Name
*
First Name
Last Name
Email
*
example@example.com
Cell Phone
*
Please enter a valid phone number.
Mailing Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Church Name
Church City/State
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
District
*
CNH
NOW
PSD
Other
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone
Please enter a valid phone number.
Spouse or Roommate Information
Please list any dietary needs
Back
Proceed to Room Selection & Payment
Registration Fees (EarlyBird)
$380 double occupancy $475 single occupancy $625 Pastor and wife
Select a payment type
*
Check
Please make check payable to: Pacific Southwest District
*Include TIM Retreat in the memo portion and mail to: 16355 Laguna Canyon Rd #300, Irvine, CA 92618
I will mail a check to the PSD for the following amount:
Double Occupancy - $380
Single Occupancy - $475
Pastor & Wife - $625
Submit
Should be Empty: