Please enable JavaScript in your browser to complete this form.Name *FirstLastHave you been to an Inspired Sisters Womens Retreat before? (If you've been to a retreat before and your information is the same, you may skip down to the "Email Address" portion of the form...)No, it's my first time.Yes!Birth Date(Please enter birthdate as two-digit month, two-digit date, and four-digit year. For example, October 2, 1968 would be entered as "1002968")AddressCityPhone(Please enter phone# as three-digit area code, and seven-digit number. For example, you would (610) 587-2136 as "6105872136")Email *Favorite Color?Coffee, tea, and water will be available in the lodge all weekend long. All meals will be prepared by the camp staff. Guests are encouraged to bring a snack item for the kitchen lodge to share during the weekend. If you have any special dietary needs or concerns, please let us know.Transportation Needs?Any Other Special Needs?Is there someone you would like to share a room with, or already have plans with someone?May we pray for a specific need or needs for you?Please choose your retreat package preference. *$155.00 • 3-days/2-nights, 5-meals* (Saturday-breakfast,lunch,dinner; Sunday-breakfast,lunch)$105.00 • 2-days/1-night, 4-meals** (Saturday-lunch, dinner; Sunday breakfast, lunch)$65.00 • 1-day, 3-meals (Saturday-breakfast, lunch, dinner)$50.00 • 1-day, 2-meals (Saturday-breakfast, lunch or -lunch, dinner)Lodging: Each room accomodates 3 ladies comfortably per room, with 1 queen bed, and 1 twin-over-double bunkbed. Linens: Sheets, blankets, and pillows are provided by the camp. Additionally, each room has a private bathroom, and towels and toilet paper are provided by the camp. *Meals are included in package price regardless of how many you plan to personally attend. ** Saturday can include breakfast-lunch-dinner and Sunday breakfast as 4 meals. Should the Lord put it on your heart to help another sister in need of this weekend, we welcome any amount of sponsorship you might be willing to extend. And if you have a special sister in mind, please let us know who that might be...Your online registration temporarily holds your reservation but payment must be received by Monday, October 24, 2022. I will mail a check payable to Zion's Church to 190 Eagleview Drive, Mohrsville, 19541I will give a check payable to Zion's Church to Marie Perry at the church SoundboardI will make my payment through RealmYou may change your preference at any time, but please indicate above your preferred method of payment. If you have any questions or issues with the registration form, please email mperry@kassay.com.Submit Follow us on Social Media facebook instagram