If you have already registered and would like to make an additional payment, please proceed to the bottom of the page and click the payment button.

Groups of 10 or more have the option to register as a group. Please contact at wiwmfl@gmail

Retreat 2026 Registration Form

First name*

Last name*

Name for Name Tag (if different)

Phone*

Email*

City, State

Accomodations *

2 Nights Semi Private $260 Per Person

2 Nights Private Room $310 Per Person

1 Night Semi Private $150 Per Person

Saturday Only $90 Per Person

Roommate Request

Special Accomodations:

First Floor

Handicap Room

Gluten Free

Dairy Free

Vegetarian/Vegan

Are You Part of a Group

Yes

No

Name of Group

T-SHIRT PRE ORDER $17

Small

Medium

Large

X-Large

XX-Large

XXX-Large

Payment Options

Full

Partial (full payment due by 12/19)

Payment Method*

via Check PO BOX 14941 Clearwater, Fl 33766

via Zelle - WOMEN IN THE WORD MINISTRY wiwmfl@gmail.com

Debit/Credit Card (See Link Below)

First name*

Last name

Email*

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