Christ Center Men's Retreat Registration Form

Be Still: BFC Selah Ladies Retreat 2026

April 17-19, 2026 at Black Rock Retreat
Full Name

First NameLast Name
Phone Number

Area CodePhone Number
E-mail
Home Church
Rooms

Each room at Black Rock contains two twin beds and one queen bed. For rooms of four people, two people must share the queen bed. For rooms of five, a cot will be added to the room. At this time only registrations for groups of 3, 4, or 5 are open. Registration for double occupancy will begin February 1. If you are looking for a roommate, please email Niki Morton at nikinstevemorton@gmail.com or call (302) 463-7516
Are you registering for one room (which must contain 3, 4, or 5 people)? Or are you registering for all the ladies in your church group which necessitates multiple rooms?

One roomEntire church group (more than one room)

Room Registration
Number of People in Your Room
At this time, only rooms of 3, 4, or 5 are available. Each room has two twins and a queen bed. In rooms of four, two people will share the queen bed. In rooms of five, two people share the queen bed and an extra cot will be brought in for the fifth person. On February 1, rooms of 2 will be opened up. Individual rooms are not available.
Please list names of roommates
Special Notes or Needs (dietary or mobility)

Group Registration

Please list the names and email addresses of each person attending from your group according to who they'd like to room with.
Room 1: Names and Emails
Room 2: Names and Emails
Room 3: Names and Emails
Additional Rooms: Names and Emails
Special Notes or Needs (dietary or mobility)

Room Registration Payment

Ladies Retreat Registration in Full (Triple Occupancy)$225.00

Quantity

Ladies Retreat Registration in Full (Quadruple Occupancy)$210.00

Quantity

Ladies Retreat Registration in Full (Quintuple Occupancy-cot added to room)$195.00

Quantity

Ladies Retreat Registration Deposit $75.00

NON-REFUNDABLE: One person paying a deposit will reserve the entire room. Remind your roommates to pay their deposit separately through this form. Remainder of balance can be paid when you arrive at the retreat or by contacting Communications@bfc.org

Quantity

COMMUTER PRICE$77.00

Commuter price includes all teaching sessions, Saturday lunch, and Saturday dinner. Contact Niki Morton for more questions or to add additional meals.

Total $0.00

Payment Methods

Credit Card

Apple Pay

ACH Bank Transfer

Ladies Retreat Deposit or Full Registration amount may be paid by check made out to:

BFC Life Committee

PO Box 3555

Allentown, PA 18106

memo: Ladies Retreat

Room is not reserved until payment is received.
Should be Empty:

Be Still: BFC Selah Ladies Retreat 2026

Rooms

Room Registration

Group Registration

Payment Methods