Dr. David Anders 2026

Dr. David Anders Retreat

October 16-18, 2026
Registration Form

The registration form is used to reserve your attendance for this retreat. Register for all occupants sharing a single room. Prices are calculated based on the number of people in a single room. This requires attendees to pay as a group, not individually.

Commuters will need to fill out a registration form for each participant as the commuter fee reflects per person.
Retreat Attendee 1

Main contact who will be staying in a room.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Format: (000) 000-0000.
E-mail*
example@example.com
Home Church*

Cost of 3 Day Retreat with Room -- Friday to Sunday

Price includes:

1 room for 2 nights (Fri & Sat), Meals provided (Saturday and Sunday).

Overnight guests Check-in by 6:00pm Friday evening, retreat ends Sunday at 10am.

Lodging includes a room with 2 queen beds, dressing room, and private bathroom.

Commuter fee includes meals with attendance of the retreat.
Special Requests
We have 2 floors of rooms only accessed by stairs. We have handicap accessible rooms available.
One Person Overnight Retreat Fee - $290Two People Overnight Retreat Fee - $480Three People Overnight Retreat Fee - $670Four People Overnight Retreat Fee - $860Commuter Retreat Fee - $90
Total $:
Conveince Fee
Credit Card (Convience Fee added)Check Payable to Mary's Children Inc
Payable Total $:

Dr. David Anders Retreat