Women's Retreat Registration Form

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Registration Form for Come Away My Beloved: A Women's Weekend Retreat.

A $30 non-refundable deposit is required in addition to submitting this form. Please give the deposit as soon as possible to help secure your spot. Payments may be mailed in or made online by clicking on the Donate button at the top right of the Living Hope website. A Tithely account will need to be set up for these transactions.

All payments are due by September 5, 2024

Email *

Please enter your full name (first and last). *

Please enter your address, city, and zip code. *

Please enter your email. *

Please enter your phone number. (xxx-xxx-xxxx) *

Which is your preferred method of contact? *

Text

Stamped Mail

What is your home affiliated church (if currently attending)?

Who is your emergency contact? *

What is your emergency contact's phone number? *

What is your t-shirt size?

What is your sweatshirt size?

Please select a lodging for the retreat:

*Note: Lower bunks in the cabins have already been filled. Lower bunks are still available in the tent cabins.

CABIN ($245 - 3 bunkbeds in one section of room and 2 in another. Includes a toilet and shower)

TENT CABIN ($205 - 4 bunkbeds and electricity/heater. Showers and toilets in an outside building)

What payment method do you prefer? *

Cash

Check (may be mailed or submitted online)

Credit Card (through online payment)

Would you like an installment payment plan? *

Yes

Please list any special accommodations needed in the room for medical equipment and/or medication:

Do you have difficulty walking up staircases?

Yes

Clear selection

Please list any food allergies:

Are you a vegan or vegetarian?

Vegan

Vegetarian

Clear selection

Do you have a roommate preference? Our team will work to get your requests. List the names of people you would like as roommates:

If you do not have a roommate preference, please select any of the following:

Lower Bunk (NOTE: lower bunks are currently only available in tent cabins)

Upper Bunk

"Night-owls"

"Lights out by 10 pm"

"Golden Girls"

Non-snoring room

No preference

Other:

A copy of your responses will be emailed to the address you provided.

Submit

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