2026 Youth Retreat Registration

2026 Youth Retreat Registration

December 18 - 20, 2026 at Mt. Lebanon Retreat & Conference Center, 1701 Texas Plume Rd, Cedar Hill, TX 75104
Name

First NameLast Name
Gender
Age (on December 18, 2026)
Grade
T-Shirt Size
Local Assembly/Church
E-mail

Confirmation Emailexample@example.com
Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Information
Accommodation Options & Pricing:

Cabin (Dormitory style) : $179
Shared Hotel Room : $269

All prices include: Accommodation, all meals, registration, and a T-shirt.

Shared hotel rooms will accommodate a maximum of two registrants per room. Each shared hotel room must have at least one occupant aged 18 or older.
If you have a preferred roommate for a shared hotel room, please enter their name in the Comments box below.
Cabin Cost
Shared Hotel Cost
Private Hotel Cost
Accommodation
Accommodation cost
Comments (allergies/dietary restrictions)
Not used_Retreat cost per person ($)
Payment
Admin Fee ($)
Total Amount Due ($)
Payment Method
*Please make check payable to 'Southwest Brethren Conference'

Mailing Address:

SWBYR 25, 7923 Southfork Bend, Irving, TX 75063

Only cash or check, if paying at the Retreat.

USDDescription

Please enter the following text in the box below.
Note: Once you have submitted your registration, you will receive a confirmation email. For questions, contact us at southwestbrethren@gmail.com.
Should be Empty: