2023 Virginia Hope & Healing Retreat Registration

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Event Timing: Friday, July 14th, 2023 4:00 pm to Sunday, July 16th 11:00 am Eastern

Event Address: 235 Hope Hill Road, Castleton, VA

Name *

Email *

Address *

City *

State (Abbreviation) *

Zip *

Phone (in case we have to contact you) *

Spouses Name (if attending)

Spouses email address (if attending)

Name of Child *

Son or Daughter *

Daughter

Son

Child's Forever Age *

Sunrise Date *

Sunset Date *

Room Type (Price is for entire weekend): *

MOMS ONLY - King Bed w/ private bath $20 - room shared with 1 other Mom in separate bed (plus registration) 2 available

COUPLE ONLY - King Bed w/ private bath $20 (plus registration) 1 available

Food allergies or dietary restrictions

NOTE

Price above includes both nights. Total price will be your room selection above plus the registration fee ($195 per couple, $120 individual) covering the entire 2 night 3 day weekend retreat!

After submitting your form, you will be emailed an invoice via PayPal from dave@gpshope.org as soon as possible. (You do not need to have a PayPal account, simply pay with credit card.) Your registration is not guaranteed until payment is received.

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