Church Retreat

Theme: Kingdom Seekers | Verse: Matt 6:33

Name

First Name

Last Name

Phone

(###)

###

####

How many adults are joining along with you

Adult 1

First Name

Last Name

Adult 2

First Name

Last Name

Adult 3

First Name

Last Name

Please list the children joining with you

Child 1

First Name

Last Name

Child's age

Child 2

First Name

Last Name

Child's age

Child 3

First Name

Last Name

Child's age

Would you stay overnight at the retreat center on Friday night?

Yes

Registration fee of $50 per adult applies. Please interac the fee to zionhop.act@gmail.com