Retreat Registration Form "*" indicates required fields Your Name* First Last Your Email* Your Phone (US/Canada)Phone (International)Retreat Attendance I plan to attend retreat I plan to attend retreat and my spouse also plans to attend retreat. Spouse Name (if attending)Please submit a second registration in your spouses name to pay for their registration First Last Emergency Contact NameEmergency Contact NumberVK RETREAT SCHOLARSHIP APPLICATION*Our desire is that all Visionkeepers attend our yearly retreat and we do not want finances to be a hindrance. Visionwriters has a scholarship fund that can be used to assist VK’s when needed. We believe God wants to bless you during the retreat and prepare you for the year ahead, so let us know how we can help you to join us. Please complete the following information and let us know how we can help meet your needs. Please indicate here if you are requesting a scholarship, and then share below how much you will be able to contribute toward the retreat registration fee. I am requesting a scholarship I am not requesting a scholarship Amount you can commit to paying for retreat:Amount you are requesting to cover the remaining registration fee:Payment Selection for Retreat* Paying for myself Paying for myself and my spouse Requesting Scholarship (pay later) The total cost of the retreat is $325. An initial deposit of $50 is required to reserve your spot. The remaining balance can be paid in multiple payments of any amount, at your convenience, until the full amount is paid.Paying for myself*Deposit OnlyHalf PaymentPay in FullCustom AmountPaying for myself and my spouse*Deposit OnlyHalf PaymentPay in FullCustom AmountCustom Amount Custom Amount CommentsTotal Credit Card Δ
