Church Retreat | Life Together

June 28th - June 30th | Please fill out all sections of this form so we can be sure to get you signed up!

We're excited you are intersted in joining us for our first ever Church Retreat. If you have any questions as you register reach out to Ryan at ryand@thehouseonline.ca

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Accommodation Needs

*

Please select all that apply.

Cabin RV Site Tenting Site

Dietary Restrictions (please list)

Registration Payment

Please register for each person over the age of 2, and select an accomodation option. If you'd like to share a cabin with another family please indicate below.

Adult 1

N/A ($0 CAD) Adult ($100 CAD)

Amount

Adult 2

N/A (0 CAD) Adult ($100 CAD)

Amount

Child 1

N/A ($0 CAD) Ages 12+ (100.00 CAD) Ages 5-11 (80.00 CAD) Ages 2-4 ($50 CAD) 2 and under (0 CAD)

Amount

Child 2

N/A ($0 CAD) Ages 12+ ($100 CAD) Ages 5-11 ($80 CAD) Ages 2-4 ($50 CAD) 2 and Under ($0 CAD)

Amount

Child 3

N/A ($0 CAD) Ages 12+ (100 CAD) Ages 5-11 ($80 CAD) Ages 2-4 ($50 CAD) 2 and Under (0 CAD)

Amount

Child 4

N/A (0 CAD) Ages 12+ ($100 CAD) Ages 5-11 ($80 CAD) Ages 2-4 ($50 CAD) 2 and Under ($0 CAD)

Amount

Accommodation

Cabin (Sleeps up to 12) ($100 CAD) RV Site ($50 CAD) Tenting Site ($20 CAD) I'd like to share a cabin with others ($0 CAD)

Amount

If sharing, who are you sharing with?

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

June 28th - June 30th

Please fill out all sections of this form so we can be sure to get you signed up!

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