List of Registrants

* Indicates required field

Name of Church Organization Representing *

Name of Representative *

First

Last

How Many People Representing? *

Emails of Registrants are desired in order to keep them informed of retreat information and formalities. If you choose not to supply emails, the Representative will be solely responsible to inform his/her group of any new changes or information that is issued by New Life Temple Retreats.

Registrant 1 *

First

Last

Email *

Registrant 2 *

First

Last

Email *

Registrant 3 *

First

Last

Email *

Registrant 4 *

First

Last

Email *

Registrant 5 *

First

Last

Email *

Registrant 6 *

First

Last

Email *

Registrant 7 *

First

Last

Email *

Registrant 8 *

First

Last

Email *

Registrant 9 *

First

Last

Email *

Registrant 10 *

First

Last

Email *

Submit