DEEPER Registration Form
Payment information is at the bottom of this form.
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Email *
Today's Date *
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First and Last Name *
Address *
City, State, Zip Code *
Cell Phone Number *
Please confirm the date of your Deeper Event. Email Roxanne at roxanneparks1@yahoo.com with any questions. *
How did you hear about DEEPER? *
Do you have any food restrictions? *
Please choose one: *
Do you have children? If yes, how many and what are their ages? *
Please describe what you are hoping for from your DEEPER experience. *
Cost for DEEPER, including lodging and food during your stay, is $795, to be paid in full by September 30.
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Cancellation Policy: Cancellation policy: Full refund up to 30 days before the first day of event. If within 30 days of event, you may transfer your payments to a friend or another event OR receive a refund minus $75 administration fee.
Your payment confirms your spot. You can pay by check or Paypal, Venmo or Cashapp. Please note: Any registrations received after September 7 will need to promptly pay in full. If you have questions, email Roxanne at roxanne@roxanneparks.com *
Required
We are so excited you will be joining us at Deeper! We will be praying for you as the event approaches. The Lord is faithful to meet with His beloved! Is there anything else you want us to know?
A copy of your responses will be emailed to the address you provided.
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