2018 Flourish Spring Retreat • Life Church

First Name *

Last Name *

Email Address *

Mobile Number

Mailing Address

Mailing City

Mailing State

Mailing Zip Code

Which type of accommodations would you prefer?

Ataloa Cabins (3-4 women in each cabin, bunk beds with private bath)

Holt Lodge (2 women per room, shared bathroom in hallway)

No preference

Roommate Preference or you can leave it blank and we'll assign you to a room

Dietary Restrictions

Cost is $160 per person for the retreat, $50 holds your spot. Balance must be paid in full by April 15th. $10 discount if paid in full by March 4th. Please let us below: *

I have paid in full (please note retreat on your check and place in black giving box)

I have paid in full online (http://mylifechurch.com/givecontact)

I have put in my $50 deposit

I will pay my $50 deposit ASAP