Fullness of Life Retreat
When: October 21-23, 2022
Where: Christ Peace House of Prayer
What: A retreat for women who have experienced infertility and/or pregnancy loss to spend a weekend away with their Creator and Lord as well as a community of women who need reminded that their bodies may be broken but they are beautiful and capable. 
Cost: $200-270 depending on accommodations chosen. Please reach out if cost if a determining factor of you being able to join. Their are generous donors who want to help make this possible for anyone who needs financial assistance. 

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Name (Last, First) *
Email *
Phone number *
Best time to reach you?  I promise we will not spam you, but would like to go over your answers to this form if we need clarification  *
Are you interested in 1:1 mindset coaching during the retreat? *
Dietary restrictions? *the retreat center usually does all vegetarian meals, so we will have some snacks for protein but plan accordingly  *
Required
May we take and use photos of you on our website? *
Emergency Contact (name, # and relationship) *
Which accommodations would you like?  We will be here 2 nights. There are a limited number for each room but we will try to put you in one of your top 2 choices.  See link for photos. Please reach out if cost if a determining factor of you being able to join. Their are generous donors who want to help make this possible for anyone who needs financial assistance.  *
Guest Rooms ($200 for retreat) Located in a wing of the main building. The rooms include a single bed, sitting area, writing desk, closet, ceiling fan, Wi-Fi and heating. Five of the rooms have air-conditioning. They share a communal kitchen and bathrooms which are not air-conditioned.
Hermitages ($200 for retreat) If you are looking for a more rustic experience, the hermitages lie deeper into the woods, approximately an eight-minute walk from the main building. The Hermitages have a single bed, sitting area, writing desk, closet, ceiling fan, electric heat, air conditioning, lights, and a hot plate and minor necessities for cooking, but no plumbing and no refrigerator. Bathroom and shower facilities are available in the main building for those staying in hermitages.
Courtyard Rooms ($270 for retreat) Located in the main building. The rooms include a double bed, sitting area, closet, dining table, full bathroom, kitchenette, refrigerator, toaster, and coffee maker [no microwave oven], private deck, and heating, air-conditioning and Wi-Fi. One is designed ADA approved. Handicapped guests may find this room more accessible as it can be reached through the main building, which is one level, and is the closest room to our chapel and community room
Cabins ($270 or retreat) Located in the woods, approximately a five-minute walk from the main building. Each includes a double bed, sitting area, closet, dining table, full bathroom, kitchenette, refrigerator, toaster, and coffee maker [no microwave oven], a screened-in porch, heating and air conditioning.
1st choice
2nd choice
3rd choice
4th choice
To be sensitive, understood and allow you/others to share most openly, are you comfortable being in a small group with: *
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Please share a little bit about your story, and why you decided to register for this retreat: *
If cost is a concern, please let us know how we can help and what you feel comfortable contributing: 
How did you hear about the retreat? *
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