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Please know that your Deposit is Non-Refundable & after March 1, 2025 there is no reimbursement on your ticket.

Please fill out ONLY after deposit is submitted

To complete registration make sure to click SEND MESSAGE 

Please make sure you take time to read the  RETREAT INFORMATION tab

First Name*

Last Name*

Email Address

Age*

Home Phone Number

Cell Number*

Please MAIL or EMAIL me the Retreat Package*

Street Address*

City & State & zIP*

I was referred by who

How many retreats have you attended?*

Are you disabled or Do you require any special provisions? 

Do you attend church if so what church do you attend?

What area of Ministry do you operate in?

Please add me to the group text in messenger to keep me informed on updates on the retreat

I am attending by partnership of

Special Comments

Thanks for submitting!

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