2023 Men's Retreat

Please fill out this form and click submit to attend the 2022 Men's Conference at the Green Lake Conference Center in Green Lake, WI.
Conference begins on Friday, March 10 at 5pm and ends on Saturday, March 11 at 3:00pm.

PLEASE NOTE: Registration and payment deadline is February 5.
The retreat is for age high school juniors and older.

Name

This address will receive a confirmation email

Phone

Emergency Contact Name and Phone Number

Transportation

Please select one option.

I am able to drive I would like a ride No preference I will be driving separately

If you are able to drive, please indicate how many people you can transport including the driver.

Roommate Request:

Do you snore? (this helps to determine where we place people)

Please select one option.

Yes No

Do you require a handicap accessible room?

Please select all that apply.

Yes No

Please select appropriate room type when choosing payment below.

If you need to be contacted regarding a scholarship, please choose $0 in the drop down menu under the payment section

The room prices include Friday Dinner, Saturday Breakfast and Saturday Lunch. (Except for the Saturday only option which only includes Lunch)

Please select all that apply.

Got it

Option

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

I acknowledge that I will receive an e-mail the week prior to the trip with more details and a packing list

Please select all that apply.

Yes

Questions/Comments:

If you have any dietary restrictions, please contact Angie at admin@jacobswellgb.org or (920) 264-9564

2023 Men's Retreat

Description

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