Retreat Registration

- For individual registrations (or for couples), complete the form below.
- To register a group, please contact us. Include: the organization, number of people and contact information. Thanks. We will send you an invoice.
Registration ID
Personal Info
Name
First Last
Email
Enter Email Confirm Email
Address
Street Address City State ZIP Code
Phone
Church Name
(optional)
Church Location
City State
Employer or Place of Work
Occupation or Position Title
Retreat Details
Retreat Date*
Select the specific retreat for which you are registering. All retreats will take place over 4½ hours in the afternoon.
- Oct 6 (9:00 am - 12:00 pm): Ministry Impact at Sweetwater Sound, Ft Wayne, IN
- Oct 6 (1:00 pm - 4:00 pm): Workplace Wellness at Sweetwater Sound, Ft Wayne, IN
- Nov 12 (9:00 am - 12:00 pm): Ministry Impact at Community Grief Center, Ft Wayne, IN
- Nov 12 (1:00 pm - 4:00 pm): Workplace Wellness at Community Grief Center, Ft Wayne, IN
I will be attending as a…
- standard participant ($49)
- zoom user ($19)
- spouse ($29)
- student ($19)
- alumni ($19)
Additional Notes
Additional notes on this registration (additional registrants, special needs, etc.)
Payment
Discount Code
If you were provided a registration discount code, enter it here.
Total
$0.00
Total (for use in conditionals)
Credit Card

Card Details

Cardholder Name
Phone
This field is for validation purposes and should be left unchanged.

Personal Info