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Register by April 30th for the 2025 Young Adult Retreat
MAY 23 - 26 | POTTER'S RANCH | 5194 BEAVER RD, UNION, KY
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1
Name
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First Name
Last Name
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Email
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3
Phone Number
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4
Gender
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Male
Female
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5
Emergency Contact(s)
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First & Last Name
Phone Number
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6
General Information
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Please Select
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Are you interested in kayaking on Sunday (additional cost payable at check-in)?
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Are you interested in serving at the event?
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7
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8
Invoice ID
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9
Awaken Retreat
Please submit payment to complete your registration. ««Deadline to register: April 30th»»
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ORDER SUMMARY
Total cost
USD
Registration Fee
Includes lodging and all meals.
$
175.00
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10
Payment Methods
Debit Or Credit Card
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Choose from one of the PayPal options to
make your payment.
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