Ministers Wives Retreat Hold Form Dates: October 21-22, 2022 Cost: $45 per person *Registration Deadline October 14* Name* Your Email (if no email, type none)* Cell Phone*Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Church Name & City* Are you a minister's wife or a woman on church staff? Minister's Wife On Staff Both LodgingLee Lodge rooms are given on a first come, first served basis. Cabins are bunk bed style with women on bottom bunks. All linens and towels are provided in rooms and in cabins. Are you staying overnight on campus or commuting? Staying overnight Commuting Room Type* Lee Lodge Cabins Roommate Preference (2-4 people) in Lee Lodge roomsRoommate Preference in CabinsType any special needs in regards to lodging below; i.e. no stairs, handicap, etc.Commuter MealsPlease select all meals you will eat with us as a commuter. Friday supper Saturday breakfast Saturday lunch Please indicate special/dietary needs or allergies below*these may only be accommodated by the registration deadline (Oct. 14)Friday Fun Night. Please rank your preferences from 1-4 (with 1 being of highest interest to you)These breakouts are optional.Creative Bible JournalingPlease enter a number from 1 to 4.Please type a number 1-4Mod Podge Coaster SetsPlease enter a number from 1 to 4.Please type a number 1-4Christmas Ornament PaintingPlease enter a number from 1 to 4.Please type a number 1-4Designing a Simple WreathPlease enter a number from 1 to 4.Please type a number 1-4Payment in FullPayment must accompany this hold form to secure registration at Minister Wives. *Full refunds are not possible after October 14*Single RegistrationTotal $0.00 Credit Card Payment*Card Details Cardholder Name Δ
