Fall Retreat Registration Form
To complete registration for the Fall Retreat in Gainesville, GA (Oct 11-13, 2019), please complete all 3 steps. Fill out this form, sign + return the waiver, and submit your deposit at
Preferred name (first and last):
Please include area code.
Your home City, State:
List like this: Dallas, TX
Date of Birth:
Select which option applies to you and submit payment via Paypal to
STANDARD REGISTRATION: $99 deposit due upon registration / $200 balance due by Sept 1.
STANDARD PAYMENT PLAN: $59 deposit due upon registration / four additional $60 payments due by July 15, Aug 1, Aug 15, Sept 1.
Who is your D-Group Leader?
If you're the Leader, write your name here (first and last).
Is this your first D-Group Retreat?
No, I've been to 1 D-Group Retreat previously.
No, I've been to 2+ D-Group Retreats previously.
Do you have any food allergies?
If you answered yes above, please list food allergies here:
Gluten Free, Dairy Free, etc.
Regarding beds & sleeping, share with us below:
Please read ALL the options below and select the answers that apply. You can check more than one option.
I DO NOT have / cannot sleep on an air mattress or sleeping bag.
I have a SLEEPING BAG and am happy to use it (if necessary).
I have a TWIN air mattress and am happy to use it (if necessary).
I have a FULL air mattress and am happy to use it (if necessary).
I have a QUEEN air mattress and am happy to use it (if necessary).
I have a KING air mattress and am happy to use it (if necessary).
I don't mind sleeping on a COUCH if one is available / necessary.
I actually PREFER sleeping on alternative surfaces (floor, couch, sleeping bag, air mattress).
What size t-shirt do you wear?
What is your "word" for 2019?
What is your "verse" for 2019?
What is your "attribute of God" for 2019?
Is there anything you want to share about your expectations, hopes, needs, or fears regarding this retreat?
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service