First Name *

Last Name *

Phone *

Email *

Address

Street Address *

City *

State *

Postal Code *

Name of the Church or Ministry You Represent: *

Please list any medical allergies or conditions we should be aware of:

Church United has generously covered the majority of this retreat investment because of how deeply they value you as a leader serving the Tampa Bay Church. Your registration simply helps cover the remaining cost and confirms your commitment to this important gathering.

By checking this box I agree to the safety waiver and the terms and conditions.

I understand that registration payments will be refundable until 60 days prior to retreat start date (August 13th) Registration payments beyond that date will only be transferrable until 3 weeks prior to retreat start date (September 20th) Any and all payments beyond that date are nontransferable and nonrefundable.

Activity Waiver & Event Policy | Terms & Conditions