Discipleship Leaders Retreat
Participant Registration
Participant Registration
Church Information
First, please select the city where your church is located then, search for your church. If you don't see your church in the list, select the "My church is not listed" checkbox and enter your church's information.
Select your church's city.
Search for your church.
My church is not listed.
Church Name
Church City
City ID
Church ID
Registration Information
All registrations include meals.
Will your spouse be attending?
Yes ($50)
No
Registration Type
Retreat with Private Room ($350)
Includes 2 breakfasts, 2 dinners, materials, facility use, and lodging with a private room. Tuesday lunch on your own.
Retreat with Shared Room ($225)
Includes 2 breakfasts, 2 dinners, materials, facility use, and lodging with shared room (2 beds). Tuesday lunch on your own.
Retreat Only ($200)
Includes 2 breakfasts, 2 dinners, materials, facility use for 1 person. Lodging not included. Tuesday lunch on your own.
Registration Type
Retreat with Private Room ($350)
Includes 2 breakfasts, 2 dinners, materials, facility use, and lodging with a private room. Tuesday lunch on your own.
Retreat Only ($200)
Includes 2 breakfasts, 2 dinners, materials, facility use for 1 person. Lodging not included. Tuesday lunch on your own.
Amount Due
$
Main attendee price
Attendee Information
First Name
Last Name
Email
Cell Phone
What is your title at church?
Do you have any food allergies? (We will do our best to accommodate).
Yes
No
Please note your food allergies.
Do you have a roommate preference?
Yes
No
Roommate Full Name
Spouse Information
First Name
Last Name
Email
Does your spouse have any food allergies?
Yes
No
Please note your spouse's food allergies.
Payment
Discount Code
Payment Type
Credit Card
eCheck
Discount
Registration Summary
Subtotal
$
Total Discounts Applied
$
Total before card fees
$
Credit Card Fees*
$
3% added for credit card processing
x
Net Amount
$
Total Amount Due
$
Credit Card Information
Name on Credit Card
Credit Card Number
Expiration Month
Expiration Year
Security Code
(Card Verification Value / CVV / CSV)
eCheck Information
Bank Name
Name of Account Holder
Bank Routing Number
Bank Account Number
Account Type
Checking
Savings
Business Checking
Billing Information
First Name
Last Name
Email
Street Address
City
State
Please select...
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Zip Code
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