Secret Place Retreat - April 13, 2024

Secret Place Retreat - April 26, 2025
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth

MonthDayYear
Date
Emergency Contact *

First NameLast Name
Emergency Contact Relationship*
Emergency Contact Phone*

Area CodePhone Number
Emergency Contact Email*
example@example.com
How did you hear about this Retreat?

Radiant/Intimate AlliesPersonal ReferralOther
If Personal Referral or Other, please help us by typing the name or entity:
What church do you attend (if none, write N/A):
Anything else we should know? Dietary Restrictions? Mobility restrictions, etc? (note: there are stairs in the barn venue)
Thank you for registering. Please pay $40 by venmo to @intimateallies (look under the charity category on venmo)

Our amazing team will begin praying for you as soon as we get your registration. We can't wait to be with you and see what our great God will do!

email robyn@intimateallies.org with questions.
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Secret Place Retreat - April 26, 2025