Registration Form – Married Lovers Retreat

2023 Married Lovers Retreat Registration

Married Lovers Retreat Registration

November 2 - 5, 2023 | The Osthoff Resort | Elkhart Lake, WI

Step 1 of 3

PRIMARY CONTACT INFORMATION

Primary Contact Name *

First

Last

Primary Contact Email *

Primary Contact Cell Number *

COUPLE'S INFORMATION

Couples Last Name *

Husband's Name *

First

Last

Husband's Name Tag Preference *

First Name or Nickname

Husband's Cell Number *

Husband's Meal Preference *

Wife's Name *

First

Last

Wife's Name Tag Preference *

First Name or Nickname

Wife's Cell Number *

Wife's Meal Preference *

Wedding Anniversary *

Enter date using this format (MM/DD/YYYY)

Years Attending the Retreat *

ADDRESS INFORMATION

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Emergency Contact *

Emergency Contact*

Please check this box to complete your emergency contact information. Indicate any details required for contacting your emergency contact in the Emergency Contact Instructions section below.

PAYMENT

Payment Amount *

Full Payment or a deposit is due upon registration. The deposit is non-refundable. Once the deposit has been paid, the balance is due by October 1, 2023.

Square *

Card

Name on Card

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