2026 Kingdom Minded Men's Retreat

June 26, 2026 | Please fill out this form and click submit.

Name

*

Email

This address will receive a confirmation email

Phone

*

Address

Roommate

*

If you have any food allergies please list them here.

*

Do you require the first floor?

Please select all that apply.

Yes

Registration Costs Include one nights stay, 3 meals and a t-shirt.

Single Occupancy: $130.00
Double Occupancy: $112.00
Triple Occupancy: $107.00
Quad Occupancy: $99.00

Full refunds are avialable until June 7th. A $50 non refundable deposit will be forfieted after June 7th. No refunds after June 19th.

Choose One

*

Please select one option.

Single Occupancey Double Occupancy Triple Occupancy Quad Occupancy

T-shirt size

Please select all that apply.

Large XLarge 2X 3X 4X 5X

Payment

Pay at door (0) Deposit ($50.00) Single Occupancy ($130.00) Double Occupancy ($112.00) Triple Occupancy ($107.00) Quad Occupancy ($99.00)

Amount

official use only

Guest ID

Room Number

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

June 26, 2026

Please fill out this form and click submit.

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