Adult Spring Retreat

Personal Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Address 1:
• * City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• * ZIP Code:
• * Phone:
• If registering for double or triple occupancy, who do you wish to room with? If your spouse is attending, you must click the "add" icon under "Spouse Information" to register them.

• What is your room preference?

  • Twin Beds
  • King Bed
• Do you have any special needs?

• Fee

  Type	Fee
  Full Event (Fri-Mon) Double/Triple Occupancy	$230.00
  Full Event (Fri-Mon) Single Occupancy	$295.00
  Full Event (Fri-Mon) RV	$150.00
  Partial Event (Sat-Mon) Double/Triple Occupancy	$165.00
  Partial Event (Sat-Mon) Single Occupancy	$200.00
  Day Rate (Fri-Mon) meals but no lodging	$155.00
  Day Rate (Sat-Mon) meals but no lodging	$135.00
  Day Rate (Sat-Sun) meals but no lodging	$110.00

Home church

• What is your home church?

Spouse Information

You may add a maximum of 1