2024 Registration Form

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If you have any questions, please let us know at bcrabtree@ohiofwb.org

Email *

Church

Pastor's Name

Are you an ordained minister

Yes

Licensed

Clear selection

College Student

Yes

Clear selection

Name of School

Last Name

First Name

Address

City

State

Zip

Phone Number

I am a first time attendee.

Yes

Clear selection

Are you coming for the entire event?

Yes

Clear selection

Are you a bi-vocational pastor

Yes

Clear selection

What do you do for a living?

If you answered "yes" please check all that apply

I would like a regular dorm room and 5 meals ($150.00)

I would like a single room and 5 meals ($275.00) (first come first serve)

I would like a single room double occupancy ($235.00) per person (first come first serve)

I would like a single room, triple occupancy ($225.00) per person (first come first serve)

I am a pastoral student or a young man that has answered the call to preach ($115.00)

If getting a single hotel room, please list who you would like to room with.

If you answered "no" please check all boxes that apply

Thursday Night Lodging ($60.00)

Thursday Dinner, January 20, 2021 ($15.00)

I will be attending Thursday Evening Service ($5.00)

Friday Breakfast, January 21, 2021($10.00)

I will be attending Friday Morning Sessions ($15.00)

Friday Lunch, January 21, 2021 ($13.00)

I will be attending Friday Afternoon Sessions ($15.00)

Friday Dinner, January 20, 2021 ($15.00)

I will be attending Friday Night Session ($5.00)

Friday Night Lodging ($60.00)

Saturday Breakfast, January 22, 2021 ($10.00)

I will be attending the Saturday Morning Session ($15.00)

Allergies or Emergency Information

Emergency Contact

Please send a check with total payment to the Ohio State Office with "Men's Retreat" in the Memo Line or pay online or the Ohio FWB State App.

2580 Jordan Road Columbus, OH 43231

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