Gospel Waltz Journey Retreat

What: The Gospel Waltz Journey is a small group team-based experience that includes:
- A three-day retreat to foster learning and team building.
- A ten-week follow-through resource to apply the Gospel Waltz framework in the context of doing life together.
When: Friday, September 6 - Sunday, September 8
Where: Alabama 4-H Center 892 Four H Road, Columbiana, AL 35051
Cost: $250 - $450 (varies based on room selection in registration form)

Fill out the Registration Form below
Pay Registration Fee*
*When you hit submit on the registration form, you will be redirected to pay your registration fee online.

Gospel Waltz Retreat Registration Form

Name

First Name

Last Name

Gender

Date of Birth

YYYY

Phone Number

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact

(Name and Phone Number)

Church Name and City

Facilitator and/or Team Member Names

Room Request

Dorm Style Retreat Fee – $250 (If Available)

Double Occupancy Retreat Fee – $350

Single Occupancy Retreat Fee – $450 (If Available)

Special Dietary Requirements

Additional Information You'd Like Us To Be Aware Of?

Medical Issues, etc.