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2024 FALL Retreat Registration
*
Indicates required field
Name
*
First
Last
Additional family members attending, (if kids, includes ages):
*
Phone Number
*
Email
*
I/We will be coming:
*
FULL RETREAT - Friday afternoon through Sunday morning
ONE NIGHT - Staying one night (put arrival and departure plans below)
DAY ONLY - Coming for a day only (put arrival and departure plans below)
Arrival and departure plans:
*
Do you need a ride?
*
Anything else it would be helpful to know?
*
Emergency Contact Name & Number (someone not coming on the retreat):
*
Dietary Restrictions or needs:
*
I am/my family is willing to:
*
Provide/provide ingredients for one dinner
Help prepare a dinner if someone else provides ingredients
Do some grocery pick up for breakfasts and lunches (if given a list)
Retreat Suggested Donation:
FULL RETREAT
Adults - $160, Kids ages 6-11 - $80, Kids under 5 - Free
Family Max - $400
ONE NIGHT
Adults - $80, Kids ages 6-11 - $40, Kids under 5 - Free
Family Max - $200
DAY RETREAT (includes lunch)
Adults - $30, Kids ages 6-11 - $15, Kids under 5 - Free
Family Max - $75
Total to be paid:
*
Total for all members of your party. If scholarship is requested, please indicate total amount you will be paying.
How will you make payment?
*
Pay by check turned in to church
Pay by credit card online
$50 deposit due at registration. Full amount due by November 6.
Retreats are part of our Life & Ministry Together and all may participate regardless of ability to pay.
PLEASE CLICK SUBMIT BEFORE MOVING TO THE PAYMENT SECTION BELOW THE LINE.
Submit
To pay online - click the link to the right.
LNPC Life & Ministry donation
Pay now online