FALL Retreat Registration

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2022 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 - $150, Kids ages 6-11 - $75, Kids under 5 - Free
Family Max - $350

ONE NIGHT
Adults - $75, Kids ages 6-11 - $40, Kids under 5 - Free

DAY RETREAT (includes lunch)
Adults - $25, Kids ages 6-11 - $13, Kids under 5 - Free

Scholarships available *

I/we would like scholarship assistance

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 I've already paid the total amount (rollover from Spring retreat) I've paid partial (rollover from last retreat)

$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.
Please be sure you have
submitted your registration form above first.
USE THE NON-CHARITABLE GIVING line. Please put "Fall Retreat Payment" in the notes

Pay now online

1620 E 46th Street
Minneapolis, MN 55407
612-721-4463

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