Weekend Retreat Registration
(Best filled out on a desktop computer)
Church you attend
Weekend you are interested in
Do you have any health concerns or dietary restrictions we should know about?
Please list concerns and dietary restrictions.
How did you come to know Jesus as your personal Savior?
Briefly share your spiritual journey for the last 12 months.
What do you hope to get out of this experience?
Is there anything else you feel is important for us to know about you?
By checking these boxes you are affirming that you agree with these statements.
I acknowledge and accept that this is a Faith Journey and that everything I will be involved in will seek to point to Jesus Christ as Lord and Savior.
I accept full financial responsibility for the costs of this experience.
I will help to create a safe atmosphere, maintain confidentiality and participate in all activities.
( X )
Deposit amount ($125) Full amount ($250)
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