Winter Retreat Registration Form

Winter Retreat Registration Form
Register for the winter retreat and complete attendee, lodging, fee, and payment-related details. Review the waiver, lodging notes, fee information, and payment instructions as part of the registration process.
Camp Selection
Primary Attendee Camp Selection
Second Adult Camp Selection
Number of Children Attending
Primary Attendee Information
Primary Attendee Full Name
First NameLast Name
Primary Attendee Name
Primary Attendee Phone
Please enter a valid phone number.Format: (000) 000-0000.
Primary Attendee Email
example@example.com
Primary Attendee Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Primary Attendee Home Church/Fellowship
Primary Attendee Gender
Primary Attendee Age Range
Primary Attendee Accepted Jesus
Lodging Preferences
Special Lodging Needs
Other Lodging Needs
Do You Have a Preferred Roommate?
Preferred Roommate Name
Preferred Roommate’s Gender
Preferred Roommate’s Church/Fellowship
Accommodation and Meal Plans
Note for campers staying for three nights: There will be no childcare or children’s camp service after the Adult Retreat ends in the afternoon of 12/28/2025. Please take care of your own minor child or children thereafter.
Cost Per Adult: $20 per adult per day for facility; $10 per meal per adult.
Cost Per Child: $10 per child per day for facility; $5 per meal per child.
Primary Attendee Discount Code for Speakers and Children’s Camp Coworkers

Accommodation and Meal Plans

Free

Total