Church Planter Family Retreat 2025
Fairmont Hot Springs
Full Name
*
First Name
Last Name
Sweatshirt Size
*
Spouse's Name (if attending)
First Name
Last Name
Sweatshirt Size
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How many are attending in your family?
*
Do you need childcare?
*
No
Yes
Child #1
Name, Age, Sweatshirt Size
Child #2
Name, Age, Sweatshirt Size
Child #3
Name, Age, Sweatshirt Size
Child #4
Name, Age, Sweatshirt Size
Child #5
Name, Age, Sweatshirt Size
Child #6
Name, Age, Sweatshirt Size
Do you have teenagers attending with you? There will be a youth program provided.
*
No
Yes
Teen #1
Name, Age, Sweatshirt Size
Teen #2
Name, Age, Sweatshirt Size
Teen #3
Name, Age, Sweatshirt Size
Teen #4
Name, Age, Sweatshirt Size
Submit
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