Christ Center Men's Retreat Registration Form

Revive Covert Operation Retreat Registration
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
E-mail*
example@example.com
Seed Packages

Individual

Early Registration: $950

Standard Registration: $1,200

Married Couples

Send an email to receive a special code

* For May Retreat Early Registration Ends: Feburary 23rd

Standard Registration Ends: March 30th

* For August Retreat Early Registration Ends: May 1st

Standard Registration Ends: June 15th
Retreat Date

May 9-15, 2026May 16-22, 2026August 8-14, 2026August 15-21, 2026
Gender:

MaleFemale
Shirt Size

SMLXL1XL2XL3XL4XL
If you're flying in or arriving by bus for the retreat, will you require transportation once you arrive?

yesno
Registration Seed

$200 Non-Refundable Registration Seed (Applied toward your total balance & holds your spot it you do not pay in full upon registration)
Seed Amount*

prevnext( X )
USD
We honor that every seed is a covenant exchange between the giver and God. For those completing a remaining seed, the following covenant pathways are avaible:

Zelle: 911Revive@gmail.com

Venmo: @CovenantSowning-911Revive

Chime: $CovenantSeed-911Revive

* Monthly seed installments are available, allowing the remaining balance to be completed in full before the regrestration end date.
Enter your Unique Code (if applicable)
As a part of documenting what God is doing during the retreat, photos and videos will be taken for documentation and promotional use. (website, social media, flyers, etc.)

Yes, I give my permission for my image to be used for ministry and promotional purposes.No, I respectfully decline permission for my image to be used.
Thank you for your response. We honor and respect all privacy requests and will make every effort to accommodate your preference.
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

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Revive Covert Operation Retreat Registration