Cherith Retreat Application

Your Name (Pastor)*

First NameLast Name

Your church/ministry name and location:*

Your church/ministry website:

You can also provide a social media link if you don't have a website

If you or your church/ministry has a Statement of Faith, please upload it here:

How many years have you been in ministry?*

Please provide a ministry reference—someone who is actively involved in or familiar with your current ministry (i.e., a pastoral staff member, ministry director, department leader, elder, deacon, board member, missions coordinator, or ministry supervisor).

Ministry Reference Name*

First NameLast Name

Phone Number*

Please enter a valid phone number.

How is this person familiar with your ministry?*

Tell us a little about yourself: *

Things like your position in church/ministry, years in ministry, hobbies, your family, etc.

Tell us a little about your goals for your getaway: *

Study, quality family time, rest, getting info about camp, exploring the area, etc.

Please list any other family members who you plan on bringing:

	Name	Age of Children
Wife
Child 1
Child 2
Child 3
Child 4
Child 5
Child 6
Child 7

Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Email*

example@example.com

What date would you like to arrive? (Available dates marked in white)*

Please note our availability is subject to change.

Lodging*

Treehouse (Modular style home)Bring your own Camper or RV

Any special accommodations needed or notes you need to add:

How did you hear about this opportunity?*

Once your application has been accepted and we've confirmed your reservation, Trail Ridge requires that a $50.00 Deposit Fee be charged upon secured booking for a Cherith Retreat. This deposit will be refunded after check-out, provided no incidentals have been incurred.