Men's Retreat Registration Form with Payment

Men's Retreat

Please register for your retreat by filling the form below.
Full Name*

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

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Church you most often attend
Church Name
Any food allergies?
List all allergies for our Food Service.
Is there any information you would like us to know?
ie. wheel chair ramp needed, service dog, etc.
How did you hear about White Mountain Camps?*
ie. social media, church, friend, etc.
Signature*

Clear
Payments are processed through Square. We will accept major credit and debit cards.
Options for payment*

I will pay with a credit card nowI will pay upon arrivalI will pay over the phoneI will send a checkOther
Retreat Costs/Housing Choice

Retreat Only No Housing ($120.00)Retreat w/ Lodge Housing ($150.00)Retreat w/ Cottage Housing ($250.00)

Men's Retreat