HCM 2019 Winter Retreat Registration
Please join us for HCM's annual Winter Retreat!

What is the purpose? A time to step back from our busy lives, to be refreshed and refueled through times of worship, messages, prayer, food, and fellowship!

Dates: 6:30 pm, Friday evening, January 25th to Saturday night, January 26th
Location: Radisson Hotel, 517 Grand Canyon Dr, Madison, WI 53719
Tentative retreat schedule: https://tinyurl.com/winterschedule2019
What should you bring: Your Bible, journal, change of clothes, toiletries, and an eager heart.

IMPORTANT: If you are inviting guests, please send them this form and have them fill it out, especially contact information and if they will need transportation to and from the retreat center

Registration Fees:
1) Early Bird (Deadline Dec 9th):
- Students (Undergrad/Grad): $75
- Adults: $95
- Married Couples & Families: $170

2) Regular (Deadline Jan 6th):
- Students (Undergrad/Grad): $90
- Adults: $110
- Married Couples & Families: $190

3) Late (Deadline Jan 24):
- Students (Undergrad/Grad): $105
- Adults: $125
- Married Couples & Families: $210

4) Walk-ins (Jan 25-26): $ 150/person

Payment is required when you sign up.

Options for payment:
Zelle/Quickpay - harvestmadisongiving@gmail.com (Memo - winter retreat)
Venmo - @harvestmadisongiving (Memo - winter retreat)
Check - Make payment out to Harvest Church of Madison (Memo - winter retreat)
Credit Card - note that you will be charged an additional 2.5% fee for using credit card

Childcare will be provided Saturday morning.

If cost is an issue for you, or you have any questions or concerns, please email hcm-swat-team@googlegroups.com or reach out to Maisee or Toujon. We want to do what we can to help you be at the winter retreat!

Name (First Name Last Name) *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Gender *
For room assignment purposes.
Stage of Life *
If you are in a Family Group, which one are you in? *
Do you need a ride? *
If you need a ride, please provide the name of your dorm or address
If you live in a dorm, you can just put the name of your dorm. You don't need to put down your full address.
Your answer
Can you provide transportation to the retreat?
If you are willing and able, please indicate how many passengers you are comfortable taking, and also the general direction you will be coming from on Friday evening (i.e. campus, downtown, coming from Epic, etc.)
Your answer
Do you have food allergies or specific dietary needs?
Vegetarian? Nut allergy?
Your answer
Will you be staying overnight Friday night to Saturday morning? *
If you cannot stay for the entire retreat, which parts of the retreat will you be attending?
If you are staying for all events, YOU DO NOT NEED TO ANSWER THIS QUESTION.
Other comments
Please use the space below to write any other comments, such as special accommodations (i.e. can only stay for part of the retreat and will need transportation back somewhere or at sometime) or other questions.
Your answer
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