Midwest Young Adult Retreat (18+)

Hello! We're looking forward to seeing you at this year's Midwest Young Adult Retreat, held at LakeMichigan Camp and Retreat on Lake Michigan. :)

Event Timing: June 13th evening to June 16th morning, 2019
Event Address: 5807 Ridge Rd, Pentwater, MI 49449
Fee: $140 for the entire retreat; $25 per half day, $50 per full day
Contact us if you have any questions at [email protected]

Name*

Phone Number*

Email*

Gender*

Male
Female

Marital Status*

Single
Matched
Married or Blessed

Occupation*

Student
Working
Graduated

Age*

Date of Birth*

What days will you be attending? Check all that apply.*

I will be staying the entire retreat ($10 discount) ($140.00)
Evening of Thursday June 13, 2019 (includes lodging on Thursday night) ($25.00)
Friday June 14, 2019 (includes lodging on Thursday night) ($50.00)
Saturday June 15, 2019 (includes lodging on Friday night) ($50.00)
Morning of June 16, 2019 (includes lodging get on Saturday night) ($25.00)

Which community are your from? (City, State)*

Emergency Contact Name*

Emergency Contact Phone*

Please list any allergies, dietary restrictions, or medical conditions for us to be aware of*

How did you hear about this retreat?*

Facebook
Word of Mouth
Church announcement
Other

Coupon Code

Total

$0.00

Billing Information

Name*

Credit Card*

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Address*

Email*

Confirm Email*

Phone Number*

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