40th CFL Marriage Retreat Registration

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Complete this form and prepare to take part in this milestone event!
- June 2 - 4, 2023
- Potawatomi Inn/Pokagon State Park, Angola, Indiana
- Featuring...
* Speaker: Rev. Gordon Rowe, Sr. Pastor, Trinity Baptist Church of Indianapolis
* a First Friday reception
* the 3rd Quinquennial Gold and Amethyst Gala
- $440 per couple, which covers lodging, meals, sessions, workshops, materials, and more!

Committed for Life Marriage Retreat is an outreach of
Trinity Baptist Church, 3162 Baltimore Ave, Indianapolis, IN 46218

Husband's First and Last Name (for name tag) *

Wife's First and Last Name (for name tag) *

Date Married *

YYYY

Primary Email Address *

Primary Mobile Phone Number *

Additional Email Address

Additional Mobile Phone Number

Mailing Address, including City, State, ZIP *

Name and location (City, State) of Home Church

Wife's Dietary Preferences, if any

Vegetarian

Vegan

Gluten-free

Dairy-free

Other:

Husband's Dietary Preferences, if any

Vegetarian

Vegan

Gluten-free

Dairy-free

Other:

Wife's T-shirt Size *

Other:

Husband's T-shirt Size *

Other:

"We understand that registrations are to be paid in full by May 1, 2023, in order to secure a room at the Inn. We anticipate paying the $440 registration (installments or a single payment) by..."

digital payment (such as Zelle) directed to register@cflmm.org

debit/credit card through cflmm.org (added transaction fees apply)

mail-in check or money order, payable to Committed for Life Marriage Ministry (address above)

"This would be our first CFL retreat, and we'd like to be considered for financial assistance."

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