Scholarships Available

Choose the $50 or $100 scholarship option when registering and choose that option when paying, or if you need additional assistance please mark “interested in scholarship” and skip the payment page until someone on the Retreat Planning Team reaches out to you!

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Email

I want to register for:

Emergency Contact & Phone#

Interested in Carpooling?

Yes

No