Retreat Registration Form (January 2021)
Saturday, January 16th from 9-3 (MST/AZ time)
Sunday, January 17th from 9-3 (MST/AZ time)

This is an online retreat within our home environment. For details about this home retreat, read the guidelines for the retreat:https://docs.google.com/document/d/19zDV1JNqirE2TjqsmgXINZzZraYcpgx2v4tgMGQVMQ8/edit?usp=sharing

More details about the retreat will be sent once you register and have been accepted into the retreat which will be about two weeks before it begins. If the retreat should meet capacity, a lottery system will be used to select applicants.
Name: *
Email: *
Phone: *
example: 123-456-7890
City: *
Age: *
Emergency Contact Name: *
Emergency Contact Number *
example: 123-456-7890
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