Jesus House, DC - The Redeemed Christian Church of God
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Prayer Retreat
JHDC - Prayer Retreat

Please take a few minutes to answer the following questions on our volunteer questionnaire. This is strictly for our own benefit - no information will be given out to anyone else. Required Fields are marked by *.

A registration form will be required for each room.  To ensure that proper arrangements are made for special needs e.g. children, pregnant women, or those who will not be able to fast during the retreat, please follow the instructions while filling out the registration form.

*** Are you a member of a prayer group?  You will still need to register. ***

Personal Profile - Primary Contact for Room

The primary contact will be the point of contact for the room and also be responsible for collecting registration cost from room mates.
If not a family, I would like to share a room with: 1 person   2 people   3 people
*Title:   
*First Name:  
*Last Name:  

Contact Information
*Address:  
Address  (contd.):  
*City:  
*State:  
*Zip Code:  
*Country:  
*Home Phone:  
Mobile Phone:  
*Email:  

Accommodation and Transportation 

(Note:  Due to restriction at the retreat venue, there can only be a maximum of four people per room. It is recommended that members of the same family i.e. father, mother and children share a room.)

Transportation - Will this member require that we provide transportation?

Fasting - Will this member be fasting i.e. not pregnant or medication or a child etc?
Room Member Full Name Child Adult Transportation Fasting
Yes No Yes No
Age (Children Under 16)          
Yes No Yes No
Age (Children Under 16)          
Yes No Yes No
Age (Children Under 16)          
Yes NO Yes No
Age (Children Under 16)          

Is everyone in this room a member of the same family?

  Yes No

Sponsorship

We are trying to make the Winter Retreats more comfortable so that we can focus on our mission. We listened to many suggestions from the past and in order to integrate these suggestions we will require sponsorships from people who choose to do so as the Lord puts it on your mind.  Part of the mission of the retreat is to make it possible for anyone who chooses to attend to be able to do so irrespective of the cost. 

Please ONLY fill out this portion if you intend to sponsor someone

I would like to be a sponsor

  Yes No

I will be sponsoring

 
$57.50/Quarter Room  
 
$115/Half Room  
 
$172.50/Three Quarter Room  
 
$230/Full Room  
*Other Amount:  

Questions & Comments

 

 		   
 
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