2019 Retreat Registration: Families
Please complete this form if you are registering as a family. if you are married without kids and wish to room with others of the same sex, please register as a single individual.

Families will be assigned an apartment/suite for the members of your entire family (kids or no kids).

First Name *
Your answer
Last Name *
Your answer
Gender *
Spouse's First Name
Your answer
Spouse's Last Name
Your answer
Spouse's Gender
Mobile Number *
Your answer
Email Address *
Your answer
What service do you attend? *
Which small group do you attend? *
Your answer
Are you interested in leading a small group at the retreat? *
List all the allergies of each individual member in your family
Your answer
If you need a ride to the retreat, please provide your general location or nearest metro.
Your answer
If you can give rides to the retreat, please provide your general location or nearest metro.
Your answer
List full name(s) and age(s) of your child(ren)
Your answer
Registration fees are: $100 for ages 18+, $50 for kids ages 6-17, and free for children under 5. What is the total registration fee your family?
Your answer
How are you paying your registration fee? *
Comments or Questions
Your answer
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