EmailMe Form - 2025 MABC Ministers Retreat Registration Form

Name of Participant *

First Last

My spouse plans to attend with me. If so, please list their name below.

Name of Church and Location *

My Home Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Cell Phone *

### - ### - ####

Email *

Lodging options:
Most of the bedrooms are singles, but some are furnished for double occupancy with full- or queen-sized beds. All will share bathroom facilities with others lodged on the wing they are staying on.

Choose the one(s) that apply: *

I am solo and would prefer my own room

My spouse and I will stay in the same room

My spouse would prefer their own room nearby mine

I would be open to a roommate of the same gender

My Dietary Restrictions are as follows: Please note that the retreat center will do its best to accommodate your dietary needs but it may not be able to:

Health Needs: Please check the box if you will be using a CPAP machine and will need to have an outlet close to your bed. (There are outlets in every room but a few are placed intentionally next to the bed.)

Yes, I will need that.

Individual Wellness Options will be available to you.
Please check all the options that you are interested in.
There is no cost to you. The cost is being covered by the Region.

Deadline to submit your interest is on or before Sunday, October 5th.

Prior to your arrival at the retreat center, you will be notified as to the day and time of your appointment(s) by the region office.

Spiritual Direction - 1 hour

Massage for Wellness - 1 hour - Full body Swedish

Massage for Wellness - 30 minutes - fully clothed

Hands and Feet Reflexology - 1 hour - fully clothed

Reiki - 1 hour - fully clothed