Online Retreat Registration
* Required Field
Address:
Your name:
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City:
Email:
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Church City:
State:
Zip Code:
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Church Name:
Birth Month/Date
Name for Badge
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Other Ph:
Home Ph:
Cell Ph:
Interest Groups Please indicate one 90-minute group you would like to attend. Amazing Disciples Race: A physical game, challenging each other to have a good time. — Jennifer Allen The Lovely Face of Books: The Faith Club: Discussion for those who have read the book, which is widely available. —Andrea Beeson and Betty Beeson Serving the Faces of the Community: Service opportunities in local communities. —Rae Browning The Changing Face of Spirituality: New ways of growing in the Spirit. —Judy Bennett The Face of Tai Chi: Ancient practice of thoughtful movement. —Mae Seaman The Face of Disciples Missions: How we are reaching out “from our doorsteps to the ends of the earth”. —Ann Hamm and Caren Combs Working with Clay ($5 supply fee): Get crafty with your hands. —Patty Hoffman and Rachel Ball Walking the Labyrinth: Spend time in a quiet journey with God and self. —Dawna Watkins
Need Shuttle? y/n
First Retreat? y/n
Cost Summaries : Carefully follow instructions below, and indicate whether you are mailing a check or paying online. Instructions will be sent to you for online payment within 3 days of receiving your completed information.
From the cost guide below, please indicate your Lodging choice in comment box below, indicating which night(s) and total due. Those note sleeping on campus, please add $5 usage fee:
LODGING: MEALS: CHILD-CARE: CRAFTING: REGISTRATION: $15 TOTAL DUE:
From the cost guide below, please indicate your Meal choices in comment box below, indicating total due:
From the child-care cost guide below, indicate total due for child(ren), and list names and ages of children in comment box (below):
Add Craft Fee, if any (see listing at left) and note craft or interest group preferences in comment box (below):
Add $15 per participant
Indicate total due, including $15 registration, and please double-check your math :
Method of Payment:
I will mail a check (before Aug. 20)
Please send instructions for online payment (you must include your email address for this option)
Details, room-mate requests, comments, or feedback:
Room-Mate Requests: Please indicate your choice of room-mate and be sure to check with that person, so that they will indicate your name. Use comment box at left.
Thank you for your participation. If you have trouble with the online registration system, please contact Rev. David Chafin at 304-428-1681 or email him.