Man of the House - Registration

MAN OF THE HOUSE

2026 Registration
September 24–26, 2026

Jumonville Christian Camp & Retreat Center
887 Jumonville Road
Hopwood, PA 15445

Registration Deadline: September 1, 2026

Please complete this form to register for the 2026 Man of the House Men's Retreat hosted by Joe Perozich of MFC Ministries, Inc.

ATTENDEE INFORMATION
Name

First NameLast Name
Preferred Name (Optional)
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState

Zip Code

EMERGENCY CONTACT
Emergency Contact Name

First NameLast Name
Relationship
How is this person related to you?
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

ROOMMATE SELECTION
Please provide the name of the person you would like to room with.
Roommate Name

First NameLast Name

DIETARY RESTRICTIONS
If you have any dietary restrictions or food allergies, please let us know below. This information will be shared with Jumonville Christian Camp & Retreat Center. While every reasonable effort will be made to accommodate dietary needs, accommodations cannot be guaranteed.

ACKNOWLEDGEMENTS
I understand and accept that:
- Registration fees are non-refundable.
- Participants selecting a room in the inn are responsible for coordinating their own roommates prior to registration.
- Dietary restrictions and food allergies will be communicated to Jumonville Christian Camp & Retreat Center, but accommodations cannot be guaranteed.
I have read and agree to the Registration Policies.
Should be Empty: