Come to the Table

Then Jesus declared, "I am the bread of life. He who comes to me will never go hungry, and he who believes in me will never be thirsty." John 6:35

Please submit your information and payment to register for the retreat. If you have any questions about the form, please contact yadeira@gmail.com.

First Name *

Last Name *

Email Address *

Home Church

Address 1 *

Address 2

City *

State *

Zip Code *

Phone *

Did you attend last years conference? *

Yes

No

Get Togethers (Please Pick One):

Hot Chocolate Bar (Limit 20)

Goblet Bracelet (Limit 20)

Book Club Discussion: "The Messy Life of Parenting, Powerful & Practical Ways to Strengthening Family Connections" (Limit 20)

Decoupage a Rock (Limit 20)

Artistic Bible Journaling (Limit 20)

Archery (Limit 12)

Low Ropes

Dietary Restrictions *

Special Requirements

Emergency Contact Information

Roommate Requests: To accommodate all of our guest, there will be at least 4 people to each room.

Accommodation Options:

To accommodate all our guests, there will be at least 4 in each room. Please select room choice below. Physical needs take first priority, then on first-come, first-serve basis.
No babies or children under 16 years. No pets.

Ethel Clark Hall ($156)

(1 full, 1 queen & 2 bunks and private bath; bedding & towels provided.)

Turner Dorm ($140)
(No bedding or towels, shared bathroom)

Housing Preference *

FOR PARTICIPANTS WHO NEED TO MAKE A PARTIAL PAYMENT OR HAVE A SCHOLARSHIP PLEASE PAY THE REMAINDER OF YOUR BALANCE BY CHECK.

Women's Retreat Registration Fees
Be sure to scroll down to "Return to Merchant Site" to complete your registration. *