Be Still Men's Retreat Registration Form: 27 - 30 April 2023

Be Still Men’s Retreat Registration Form: 27 – 30 April 2023

Be Still Men's Retreat Registration From

This form is created to capture all data required to register for the Be Still Men's Retreat
Date: 27 - 30 April 2023, Willowmore, Western Cape

Name

Surname

Mobile Number

Age

Language Preference

Who referenced you or where did you hear about this retreat?

Some of your expectations from this weekend away with God?

Briefly tell us how we can pray for you in the next few weeks?

Indemnity Agreement

I choose to participate in the "Be Still" weekend out of my own free will and will not hold the organisers, ministry or facilitators liable for loss or injury during this process. I state that I know my own limitations, physical and otherwise, and I agree to be completely responsible for my own actions and the outcome of such actions. I hereby list list below any medication which I may be allergic to in the case of an emergency.

Medication I am allergic to:

Contact person in case of emergency

Medical aid details (if applicable)

Payment Details:

Please complete your registration form as soon as possible to reserve your place. There is limited accommodation and we can only confirm your space once you have submitted your registration form.
Retreat Fees: R3500 (fully inclusive of accommodation, all meals & materials)
Deposit of R2500 required at registration to confirm your place, with the balance to be settle before the commencement of the retreat.
BANK DETAILS:

If you are human, leave this field blank.

Be Still Men's Retreat Registration From

This form is created to capture all data required to register for the Be Still Men's RetreatDate: 27 - 30 April 2023, Willowmore, Western Cape

This form is created to capture all data required to register for the Be Still Men's Retreat
Date: 27 - 30 April 2023, Willowmore, Western Cape