FALL Retreat Registration

2023 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 costs:
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

Scholarships available *

I/we would like scholarship assistance

Total to be paid: *

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.

PLEASE CLICK SUBMIT BEFORE MOVING TO THE PAYMENT SECTION BELOW THE LINE.

Submit

To pay online - click the link to the right.
Put "Retreat Fund" in the notes.

Pay now online