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Retreat & Event Registration
First name
Last name
Address
City
State
Zip Code
Cell phone
Email
Home Phone
Church
I want to room with. . .
I am attending
Anniversary Banquet ($40/adult $30/child)
Alumni Retreat ($60)
Labor Day BBQ
Mens Retreat ($60)
Housing Preference
Hilltop Lodge
Hilliker Lodge
Cabin
RV or Tent site
Retreat Discounts
Saturday Only (-$20)
Friday Only (-$40)
Additional Comments/ Requests:
$
Proceed to Payment
We'll see you soon!
