Youth Pastors Retreat

MARCH 31 - APRIL 1, 2025

Church Name *

Church Mailing Address *

Mailing Address 2nd Line

City *

State *

Zip Code *

First Name *

Last Name *

Contact Phone Number *

Email Address *

Youth Pastors Retreat

Includes Monday & Tuesday Event Activities, 1 Night Lodging & 3 Meals.

	SINGLE (Motel) - $110, Enter number of people
	DOUBLE (Motel) - $90, Enter number of people
	BUNKHOUSE - $80, Enter number of people
	EXTRA NIGHT (Sunday night) - $40, Enter number of people

Do you have any Food Allergies or Specified Diet? Special food will be available ONLY for those who specify a food allergy or dietary request e.g. vegetarian, gluten free, dairy free, etc. List your food allergy or request here:

Roommate: If you chose double occupancy, who are you rooming with? List the roommates name here:

Step 4
Indicate your payment method *

Pay By Check

Pay By Credit Card - Credit Card will be charged through PayPal for the entire balance at the end of this process. Credit Card Process Fee of 3.7% is included.

Final Step

Click "Continue" when you have finished completing this form. The system will show your complete balance. Below the balance click either "Pay by Check" or "Pay by Credit Card" again. If paying by credit card, the system will prompt you to fill out the credit card information. Your card will be charged for the full balance at that time viaPayPal.

If you do not want to charge the full balance at that time, click the "Back" button at the bottom of the page (DO NOT USE THE BACK ARROW). This takes you back to Step 4. Change it to "Pay by Check". Payment will be required by October 27, 2023.

Registration is non-refundable, but it may be transferred to another person.