Exodus3 2020 Retreat Registration Form
Limited space/rooms. Early Registration Ends 10/31/19 (fee will go up $20 per adults after 10/31/19).

Commuter registration will open in December for $120 per person.
Your Name *
Your answer
Email *
Your answer
Phone Number *
Your answer
Spouse or Significant Other's Name
Your answer
Child #1 Name + (age)
Your answer
Child #2 Name + (age)
Your answer
Child #3 Name + (age)
Your answer
Child #4 Name + (age)
Your answer
Child #5 Name + (age)
Your answer
Check all that apply: Amount to be paid ($195 per adults a, $100 per child ages 7-12, $50 per child ages 0-6) *
Required
Activities (please specify Archery $5 or Zip line $15 and how many)
Your answer
TOTAL AMOUNT TO BE PAID (please include activity fees) *
Your answer
What kind of sleeper are you? (We will do our best to accommodate everyone) *
Required
Method of payment *
Other Comments or Requests:
Your answer
Submit
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