Registration – Kerith Retreats

Retreat selection

Date	Location	Program	Availability

A $500 deposit is required to complete your registration. The Kerith Retreats registrar, will call you once this form has been submitted to process your payment.

Some unimportant information

Basic information

All fields are required unless otherwise marked.

First name:

Last name:

I will be attending with my spouse

Spouse's first name:

Spouse's last name:

Ministry/Church:

Denomination:

Position/Title:

Contact

Phone number:

Alternate number: (optional)

Email address:

Spouse's Email address:

How did you hear about Kerith Retreats?

I agree to the terms of service.

Important notes

Married Couples
If married, we require the couple to attend together. Since most stresses and conflicts show themselves within a marriage, the best way we can help couples is to give a voice to both individuals.

Children
Children and nursing babies are not allowed at the retreat. We understand that it may be difficult to leave children for a week, but since this is a time of coming away, we don’t want anyone to have extra responsibilities while they are here.

Registration Deposit
A $500 non-refundable* deposit is made at the time of booking in order to secure your spot.

*The deposit is transferable to other retreats if scheduling becomes an issue. It is, however, non-refundable unless discussed otherwise with the registrar. If you are unable to cover the cost completely, feel free to contact the registrar to discuss scholarships and/or other payment options.

Register

Retreat selection

Basic information

All fields are required unless otherwise marked.

Contact