Register for 20Somethings Retreat
Thank you for coming to the 20Somethings Retreat! This will be a blessed weekend that you will not want to miss.

* Required Fields
Main Information
* First Name
* Last Name
* Phone Number
* Email
* Address
* City
* State
 * Zip

* Required Fields
* Registration (Friday & Saturday)
@ $100.00 per person
* Registration (Saturday)
@ $60.00 per person
* List first and last name of those attending.
* What United Pentecostal Church do you attend?
* Has your pastor given "verbal" approval for all attending?
Yes No