Senior Retreat Registration

General Information

Here are the details about the retreat:

  • Date: April 16th-18th, 2021
  • Time: Late Friday afternoon to early Sunday afternoon
  • Location: Winter Park, CO
  • Cost: $40 (Includes accommodations, food, and activity supplies)
    • NOTE: Cancellations must be received, in writing, at least five days prior to the retreat.

Personal Information

Date of Birth
Food Allergies
Are you able to drive yourself and other retreaters to the retreat site?
Country*
Email*
Confirm Email*
Phone*

Parent/Emergency Contact

Please provide the contact information for a member of your family or someone we can reach out to in an emergency.  Also, please indicate if you would not like us to contact them about the retreat details.

Parent/Guardian Name
Parent/Guardian Phone
Parent/Guardian Email

Event Information

Quantity
Price
Total
Payment in Full

Retreat full payment. Refundable until the Sunday prior to the retreat.

X
$
40.00=
$
0

Payment Information

Amount*
$
Payment Type
We only accept credit/debit card payments. After you complete this form, select Submit to enter your card details into our secure transaction processor. Your submission will be processed when you finalize your secure payment information.
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