Retreat Form

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Registered Mamas, please fill out this form in its entirety. Roommate requests will be highly considered. Please feel free to leave Abbie a message below if you have specific needs, questions, etc. We cannot wait to see you!

* Indicates required field

Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Do you have certain dietary restrictions that we should accommodate? *

Do you have a roommate request? Please list up to 3 other attendees. *

What are you looking forward to? *

Connecting with other moms Some alone time Exploring Hocking Hills Pool/hot tub/lounging Worship + Prayer Sessions together Rest

Choose all that apply

What would you like from the sessions? *

Parenting topics Q&A's, Open discussions I just need refreshed as a woman/mother Times of worship + prayer

Retreat is Sept 9-12th. Saturday evening is paid for by Children's Lantern. Will you be staying Saturday evening as well? *

YES. I will be staying Saturday evening and checking out Sunday mid-morning. NO. I will checkout on Saturday afternoon Unsure, but I will have a final answer by Aug 9.

Retreat Shirt Size-UNISEX, see size chart below! (These are the same brand as last year) *

Please see sizing chart for measurements. Shirts are unisex.

Is there anything you would like us to know? Any insecurities about attending, expectations, questions, needs, etc? *

Thank you for your response!
You will receive final details in mid August!

Submit

Home
Family Care
Give
Events
- Back To School Bash
Store
Who We Are