Cherith Retreat Registration

Your Name (Pastor)*

First NameLast Name

Your church/ministry name and location:*

How many years have you been in ministry?*

Tell us a little about yourself: *

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

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 day would you like to arrive?*

Please note that some dates are unavailable due to scheduled camp events, or other Cherith Retreat bookings.

What date would you like to depart?*

Lodging*

TreehouseBring your own Camper or RV

Any special accommodations needed or notes you need to add:

How did you hear about this opportunity?*

Trail Ridge requires that a $20.00 Deposit Fee be placed on the credit card on file upon secured booking for a Cherith Retreat. At the time of check-out, if no incidentals were incurred, the $20 deposit will be returned. You are liable for any damage caused to Trail Ridge Camp's premises or property, and Trail Ridge Camp reserves the right to charge the credit card on file to compensate expenses incurred including all property damage, missing or damaged items, excessive cleaning fee, etc.

Please note that the Deposit Fee will not be charged until a Cherith Retreat booking is secured.