Men's Retreat Guest Form - Restart Ministries

Partners & Friends

Thank You For Your Generous Contribution!

Please fill out this form in its entirety.

Please purchase your tickets by June 15, 2024 to reserve your spot. Only 60 tickets total available for this event. Men ages 13 & older welcome All sales final.

PLEASE SELECT THE TICKETS YOU WANT TO RESERVE:*

Check all the options below that apply to you.

Yes, I would like to register and purchase adult tickets (13 & older, $350 per ticket).

Yes, I would like to register and purchase child tickets (12 & under, $300 per ticket).

Adult Tickets (13 & older) *

Please note how many tickets you'd like to purchase. Price is per ticket. If none, please enter "0".

Price: $350.00

Childrens Tickets (12 & under) *

Please note how many tickets you'd like to purchase. Price is per ticket. If none, please enter "0".

Price: $300.00

How man tickets are for attendees under age 18?*

If none, please enter "0".

AMOUNT OF TIME ATTENDING THE RETREAT:*

Entire time

Only Thursday and Friday

Only Friday and Saturday

Other

If "other", please explain.

LODGING PREFERENCE:*

Please check one.

Fox Run Bunkhouses

Bring your own tent

Bring your own camper (limited space)

TRANSPORTATION PREFERENCE:*

Please check one. If "other", please explain.

Drive self to event venue by check in time

Restart Transportation (please select preferred pick up/drop off location below)

Other

RESTART TRANSPORTATION PREFERENCE:*

Please check one.

Gap (Weis Shopping Center) @ 12:45pm

Bird-In-Hand (Farmer’s Market) @ 1:15pm

ANY FOOD ALLERGIES:*

Please check one.

Yes

PLEASE EXPLAIN FOOD ALLERGIES:*

BEST METHOD OF CONTACT:*

Please check all that apply.

Phone

Text

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Phone*

Total Contribution:

Credit Card

Card Details

Cardholder Name

Questions?

If you have any questions, please contact RTCM Office Manager Pam Santiago at 717-304-3291 or via email at officemanager@restartministry.org. The official registration and financial information of Restart Training Center Ministry, Inc. may be obtained from the Pennsylvania Department of State by calling toll free, within Pennsylvania, 1-800-732-0999. Registration does not imply endorsement.

Name

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

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Men’s Retreat Guest Form

BEFORE YOU REGISTER, PLEASE NOTE:

2024 Men's Retreat Guest Form

Partners & Friends

Please fill out this form in its entirety.

Questions?

Have an event question?

Call Now

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