Retreat Registration Form

Retreat Registration

Please fill out the form below to register for our retreat.
Which retreat would you like to register for?*
Full Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Address*

Mailing Address

Street Address

CityState / Province

Postal / Zip CodeCountry
I will be able to attend the whole time.

YesNo
I will only be able to attend

FridaySaturday
Staying Overnight at Camp?

YesNo
How would you like to pay?

OnlineAt CampSending a check in the mail
Payments are processed through PayPal. You may pay using an existing PayPal account, or any major credit card / debit card.
Payment
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Weekend Retreat$60.00

One Day Only$30.00

Total $0.00
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