Let’s be informed together

Interested in attending the Pastor’s Retreat Workshop? Fill out some info, and we will get in touch shortly! We can't wait to hear from you!

Name of Applicant

First Name

Last Name

Spouse's Name

First Name

Last Name

Local Church

Email

Will you be staying at the hotel?

Are you able to attend all sessions?

Do you have an Assistant/Associate Pastor(s) that will attend?

Name of Assistant/Associate Pastor

Spouse's Name of Name of Assistant/Associate Pastor

I am willing to complete the DISC ((DOMINANCE, INFLUENCE, STEADINESS, CONSCIENTIOUS)) Leadership Profile.

Registration Fee: Pastor & Spouse - $100 (per couple); Single Pastor - $50

Method of Payment: