Fall Retreat #3

December 6-8, 2019

Event: Fall Retreat #3 2019
Starts: Fri 6 Dec 2019 3:00PM
Ends: Sun 8 Dec 2019 12:00PM
Cost: $39.95

Title given by Church

Name of Group Contact

Phone Number

Email Address

I am 18 years or older at the time of this registration.

Church Name

Church Mailing Address

City

State

Zip Code

Church Phone

Senior Pastor's Name

Spouse's Name

Where will your group be staying?
ON Campus OFF Campus

How many should we be expecting?

Credit Card will not be charged until you're notified via e-mail 10 business days before your event.

Credit Card Number

Expiration Date

Security Code

Cardholder's Name

Terms and Conditions

I understand the credit card provided will not be charged today, but will be charged 10-business days prior to the event if I have not already made a payment towards my deposit. Reminders will be delivered via e-mail to support me in submitting my Group Agreement Form as well as my deposit. I understand that the refund and cancellations policies go into effect at the completion of this registration submission and can be found in the Frequently Asked Questions. I understand my involvement in the event grants permission to receive future communications from the ministry.