Application: A Time to Listen: (Virtual) Spiritual Retreat for Ministry Leaders
   
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A Time to Listen: Spiritual Retreat
May 26, 2020 (8am Pacific registration) - May 28, 2020 (12pm Pacific farewell & benediction)  

For more info, see:  https://www.shepherdheartconsulting.com/retreats/

The following is an application to attend Shepherd Heart's "A Time to Listen: Spiritual Retreat" now via Zoom (as Covid dictates):  Please fill this form out in its entirety and follow payment instructions below.  Completed applications must be approved by Shepherd Heart for attendance.
Full Name of Pastor/Spiritual Leader *
Contact information: *
Your congregation (name, address, phone number) *
Emergency Contact: (Your relationship to contact person, their phone, address & email)  N/A for virtual retreats
Please list 3 of the biggest strengths of your ministry. *
Please list 3 of the biggest challenges that ministry has presented to your ministry. *
Pastor: Satisfaction Level in current ministry setting *
Extremely Dissatisfied
Extremely Satisfied
Personal Reference #1 (skip for virtual retreats)
Personal Reference #2 (Skip for virtual retreats) Full Name, phone, email
Personal Reference #3 (Skip for virtual retreats) Full Name, phone, email)
Do you give permission for Shepherd Heart to contact your personal references?  (skip for virtual retreats)
Clear selection
Do you have any strict dietary needs or food allergies?  (skip for virtual retreats) Please Describe.
Do you or your smoke?  Please be aware that this retreat is entirely smoke-free.  (N/A for virtual retreats)
Clear selection
Are you in good physical health?   *
Do you have any physical or medical limitations that could foreseeably impact you on the retreat?  (The retreat is in a beautiful, mountainous area, with an approx. elevation of 6000 ft.)  (N/A for virtual retreats)
Payment:
Full payment: $250/participant to "Shepherd Heart"


PayPal:
You may pay through PayPal (retreat fee +$10 convenience fee):  https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=FMDKR2SWY7CTN

($50 instant rebate for those registering May 12-19.)

There is a $25 cancellation fee before May 19.  No refunds on or after May 19.  

You provide your own transportation to and from the retreat site, as well as to recreational activities. (N/A for virtual retreats)
 
Travel Instructions & Directions (N/A for virtual retreats):
The retreat is in Munds Park, Arizona, nestled in the ponderosa pines between Sedona & Flagstaff- which makes it particularly picturesque.  The exact address is given upon approved application and full payment of $550/participant.  Registration begins at 5pm on Sunday, July 19.  You will be required to provide your own transportation to the retreat site ("the cabin"), and to any points of recreation, such as Flagstaff, the Grand Canyon, Sedona, or the Tlaquepaque Arts Village.  (Fees associated with such excursions - shopping, and/or dining out, etc. -  are not included in the retreat cost, of course, but are fun "extras" to choose from during your "play times" over the week.)  

Flying:  There is a major airport in Phoenix (Sky Harbor) with direct flights from many departure cities across the country.  There are also two smaller regional airports (Sedona & Flagstaff).  See maps below.  Many people find Sky Harbor (Phoenix) to be the easiest airport of the three, due to greater availability and flexibility in daily arrivals and departures. For this reason, Sky Harbor (Phoenix) is the recommended destination for air travel.  (Even though it's *really warm* in Phoenix in July, you'll be amazed at what a difference an elevation of 7000ft can make!)  Rental cars for the weekend should be easy to come by, especially from Sky Harbor - but reservations are always recommended.  (Pro-tip:  Especially for those flying great distances, travel insurance to compensate you for any travel inconveniences, like flight delays, cancellation, etc, is often a wise choice.)  

Driving Instructions:  From the North:  The city of Flagstaff is at the junction of I-17 and I-40.  Munds Park is 21 miles South of Flagstaff on I-17, exit 322:  Pinewood Blvd.

From the South:  Munds Park is 126 miles NORTH (and many degrees cooler!) from Phoenix on the I-17.  

For those who wish to extend their stay in the area after the retreat has ended, there are several lovely resorts available in and around the Flagstaff & Sedona areas.  Again, reserving ahead is wise!
Phoenix (Sky Harbor airport) to Munds Park (recommended)
Sedona Airport to Munds Park, AZ
Flagstaff airport to Munds Park
*Liability Waiver - I agree and acknowledge that I am participating in the Shepherd Heart retreat, on my own accord and at my own risk. I give this acknowledgement freely and knowingly and represent and warrant to you that I am physically and mentally fit to do so. I agree that I am able to participate in retreat activities and do hereby assume responsibility for my own well-being. I am fully aware that possible physical injury and even property loss might occur to me as a result of my participation in activities such as, but not limited to recreation, servant projects, field trips, traffic issues, lodging safety, city or wilderness dangers, altitude sickness, exposure to illness, theft, et al. I agree to assume full risk, including risk which is not specifically foreseeable, of any injuries including death, damages or loss regardless of severity which I may sustain as a result of participating in any and all activities connected with or associated with Shepherd Heart, for any reason or by any cause including through the negligence of Shepherd Heart and its agents. In consideration of the right to participate in the Shepherd Heart retreat, I hereby waive any and all rights or claims that I may have as a result of participation in the retreat against Shepherd Heart and its associates that might assist in instructing and conducting these activities, I hereby fully release and discharge them from any and all claims resulting from injuries, including death, damages or loss, which may accrue to me or my heirs arising out of or in any way connected with my participation in the Shepherd Heart retreat. I also agree that I will reimburse Shepherd Heart for any medical and other expenses incurred on my behalf. *
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