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Online Lay Retreat Registration

 

Ocean City, MD - February 23-25, 2018

Instructions: Complete all items that apply to your status (please print). Retreat attendees MUST BE AT LEAST 18 YEARS OF AGE (no children).  
A deposit of $25.00 per person or $50.00 per couple is required with registration and can be made via credit/debit card online at this www.manaz.org.  Deposit is REFUNDABLE minus a $5.00 per person processing fee until February 1, 2018.  A late fee of $25.00 will be charged for each registration form received after 2/9/2018.

2018 prices (No price increases from 2017):

Couple Registration: $450.00
Single Registration (no roommate): $400.00
Single Registration (1 roommate): $225.00 per person
Triple Registration (2 roommates): $200.00 per person
Quad Registration (3 roommates): $175.00 per person 

Package Includes:

Two Night Accommodations
One Ice Cream Reception (Friday night)
One Breakfast Buffet per person (Saturday)
One Dinner Buffet per person (Saturday)
One Breakfast Buffet per person (Sunday)
All Applicable Taxes & Service Charges (Tips)

First Name*
Last Name*
Spouse's Name
Home Address *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Cell Phone (or Home Phone)*
Email Address
Preferred Method of Contact *
Local Church: City & Name*
FINANCIAL RESPONSIBILITY AGREEMENT: In the event I am unable to attend this Retreat, I agree to notify by telephone the Retreat Registrar by Monday, February 20, 2017 or I will pay whatever costs are incurred by the Retreat Committee caused by my late cancellation. Minimum charge will be the first night’s lodging cost. Do you agree?*
Today's Date:*
ARE YOU A KEY CONTACT FOR YOUR CHURCH? *
ARE YOU A FIRST TIME ATTENDEE? First time attendees receive a discount toward the cost of the retreat - $10.00 for singles, $20.00 for couples.*
Special lodging or dietary requests for allergy, disability or medical reasons:
SINGLE REGISTRANTS COMPLETE: How many people would you like to share a room with?
List name(s) of preferred roommate(s) below:
To help with roommate matching, indicate your age range:
A $25.00 per person scholarship may be requested with a confirmation letter of need from your pastor. All registrants are required to supply the hotel with a credit card upon arrival to cover any incidental expenses not covered by their total registration fee. After you submit the form (below), you will be directed to an online payment page. PLEASE NOTE: YOU ARE NOT REGISTERED UNTIL YOUR DEPOSIT OR PAYMENT HAS BEEN MADE. AFTER you click on the submit button below, it will take you to the online deposit page.