Welcome 2023 Retreat Weekend Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

WOMEN'S RETREAT - January 21-22, 2023

Amber Bekx--Retreat Leader
amber.jentz@yahoo.com

Jillian Sylla--Formation Leader
jilliansylla13@gmail.com

MEN'S RETREAT - February 25-26, 2023

Jonny Hare--Retreat Leader
jonathanhare3@gmail.com

Tommy Nelson--Formation Leader
tommyhnelson@gmail.com

QUESTIONS?? Please contact leaders or Kristy Kendall at 847-217-6046 or kristykkendall@gmail.com.

Retreats begin Saturday morning at 7:30am and end around 11:30am on Sunday.

WE ARE SO HAPPY YOU ARE HERE!

Name *

Street Address *

City & Zip Code *

Email *

Phone number *

Special Needs (Dietary or Other) *

Emergency Contact Name/Relationship *

Emergency Contact Phone Number *

Sleeping Needs *

I will use an air mattress provided

I would prefer to bring my own air mattress

For personal reasons, I prefer to sleep at home

Other:

I am 25 years of age or older *

Yes

Required

WELCOME TO THE FAMILY! You will hear from someone in the next day or two confirming your registration.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms