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DISABILITY RETREAT SEPT 27-29, 2024
First Name
*
Last Name
*
Email
*
Phone Number
*
Name of Church
Conference Name (if applicable)
Are you a disability leader at your church?
*
Yes
No
Do you have a disability?
*
Yes
No
Are you a caretaker for someone with a disability?
*
Yes
No
Are you vegetarian or vegan?
*
Vegetarian
Vegan (plant-based)
How did you hear about the retreat?
*
Family
Friend
Church
Website
Social media
Other
Lodging (Rooms/accommodations are ADA compliant also comes with 6 meals)
*
$425/person/single occupancy/1 King Bed
$300/person/double occupancy/ 2 Full Bed (You can be paired with someone)
$300/person/double occupancy/ 2 Full Bed (List Roommate) Total: $600
Donation / Sponsorship
$350
$700
$1,000
$1,500
$2,000
$2,500
$3,500
Roommate's First Name
Roommate's Last Name
Roommate's Email
Roommate's Phone Number
Current Total:
$0.00
Calculate
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