2020 Men’s Retreat Registration Question Title * 1. Contact Information Name Home Church Address Address 2 City/Town State/Province ZIP/Postal Code Email Address Phone Number OK Question Title * 2. I will be attending: Friday only Saturday only Sunday only Friday and Saturday only The entire event for all three days OK Question Title * 3. Any food allergies? Yes No IF yes, please specify: OK Question Title * 4. Do you need a handicap room? Yes No OK Question Title * 5. I will be eating the following meals: Friday dinner $10 Saturday breakfast $6.50 Saturday Lunch Will be a tailgate cookout weather permitting $8 Saturday dinner $10 Sunday breakfast $6.50 OK Question Title * 6. Registration cost is $30. All rooms are private rooms in Holt Lodge at the cost of $178. Therefore your total cost is $208+meals chosen above. If you have any questions or comments Regarding cost/accommodations , please leave a message here: OK Question Title * 7. I will be paying by: Sending a check to 1402 Washington Ave Parkersburg WV 26101 Paying online through the regional website Bringing payment with me to the event I would like to discuss a scholarship with Rev. Thaddaeus Allen OK DONE