Penguins Retreat 2025 Registration Form

Penguins Retreat 2025 Registration
Full Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Emergency Contact*

First NameLast Name
Emergency Contact Phone*
Please enter a valid phone number.
Any allergies or medical conditions that you would like us to be aware of
Registration includes:
- Lodge Accommodations - 2 Nights
- 2025 Penguins Retreat T-Shirt
- 4 Meals
- Daily AA Meetings
- AA Focused Book Study
- Organized Events & Activities
EARLY BIRD DISCOUNT!
The first 20 people who register for the retreat and pay in full no later than February 10th, 2025; will have access to the Zipline and Ropes Adventure Course, at no additional charge. ($30 Savings)
Select which events you'd like to participate in below
Registration*

$160 - Registration
Zipline and Ropes Course (optional)

$30 ($5 savings!)
Zipline Only (optional)

$20
Ropes Course Only (optional)

$15
Donation (optional)
Donate to someone else's registration
TOTAL
* Registration fee is nonrefundable
Payments can be submitted electronically via Venmo utilizing the QR code below.

You may also pay by cash or check. If this is your preferred payment method, please contact Amy Grimmer directly to set up payment at (214) 493-8533.

PLEASE REMEMBER TO CLICK 'SUBMIT' AT THE BOTTOM OF THIS FORM!
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Penguins Retreat 2025 Registration