NOTICE: If you are a Leader filling out this registration form keep in mind space is limited. In order for us to reserve a spot you must register & pay a deposit of $120 ASAP or before May 6, 2018.  All registrations will be final and secured.
The red asterisk * means all information must be filled in.

    FIRESIDE Retreat Registration Form

    Group Registration

    If more than two people are attending we would need a group representative to be listed along with members of the group.
    Click here to list the name of people you are representing:
    LIST OF REGISTRANTS
    All information will sent via email. Make sure email address is correct.
    If you desire to make retreat payments you must pay a minimum deposit of $120 per person.

    Read Terms & Conditions

    Before submitting any payment please click & read the following:
    Terms and Conditions

    Payments

    If you desire to send your deposit or other payments my mail, check payment options then write amount that you will enclose if you are mailing in your payment. 
    Send Payments to:
    New Life Temple Church c/o Oris Ridley 
    4836 Ward Street, 
    Cincinnati, Ohio  45227.
Submit Registration Page first. Next "Go to Payment"