Reservation Request Form
The mission of Shelter Pines is to provide a PLACE, an EXPERIENCE and an INVITATION to Christ-centered, cross-cultural workers who are in need of a place to rest and be refreshed while on home-assignment or in transition as well as pre- and post-field service.

The following questions will help us to more adequately respond to your inquiry.

***Contact information collected (email address) are used specifically for direct communication with you the guest.***
Email address *
I believe in the Triune God (Father, Son {Jesus Christ}, Holy Spirit). I recognize the inerrancy of Scripture and submit to the Bible, including the Old and New Testaments, as the authoritative Word of God. I believe that salvation is a free gift of grace provided through the death and resurrection of Jesus Christ, the Son of the One True God, who paid the penalty for the sins of all humankind allowing man to have an eternal relationship with God. *
Required
Names (First and Last) and Ages of ALL potential guests:
Your answer
Please check the appropriate box that BEST describes your current season:
Name of Sending Organization or Church:
Your answer
Country of Service:
Your answer
REQUESTED arrival Day AND Date (please write the day of the week AND the calendar date to avoid confusion):
Your answer
REQUESTED Day AND Date of departure:
Your answer
Do you want to use our Debriefing Services during your stay at Shelter Pines? (We highly recommend that your stay be at least 7 nights if you are planning on participating in debriefing.)
What are your expectations/hopes for your potential stay at Shelter Pines?
Your answer
How did you hear about Shelter Pines?
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