Mission and Vision Church-Wide Retreat Registration

11/14/25 from 6:00-8:00 p.m. and 11/15/25 from 9:00 a.m.-3:00 p.m. | Please complete this form and click Submit.

Note: Childcare registration closes by 5:00 p.m. on 11/07/25.

Name

*

Email

*

This address will receive a confirmation email

We will provide childcare for 5th grade and under. Will you need childcare?

*

Please select all that apply.

Friday from 6:00 p.m.-8:30 p.m. Saturday from 9:00 a.m. and 3:00 p.m. I will not need childcare.

We will provide dinner on Friday night and lunch on Saturday. Please indicate which meals you and your party plan to attend:

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Please select all that apply.

Friday night Saturday lunch I do not need meals

Please list the names of everyone attending with you. For childcare planning purposes, please include the birthdate(s) for those requiring childcare.

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Are there any food allergies we need to be aware of?

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Would you like to donate $10 to help offset the cost of the retreat?

*

Please select one option.

Yes Not Today

Payment

($10) ($0)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

11/14/25 from 6:00-8:00 p.m. and 11/15/25 from 9:00 a.m.-3:00 p.m.

Please complete this form and click Submit.

Note: Childcare registration closes by 5:00 p.m. on 11/07/25.

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