Retreat Information

You are registering to attend

Retreat Date:
September 10, 2021 - September 12, 2021
Chouteau, OK

Attendee Information

If you are registering yourself, provide your information below.
  Check this box if registering for someone else

Attendee Name

Attendee Contact Information

Attendee Address

Payment Information

Every registration must include a deposit ($100.00 USD), custom amount (between $10.00 USD - $595.00 USD) or full payment ($595.00 USD). However, if paying the deposit and/or the remaining balance will be a financial challenge for you, please check this box      to see Financial Assistance options.

Options (Select One)

Enter Your Custom Amount Below

Enter an dollar amount between $10.00 USD and 595.00$ below.

Please select mode of payment

(Please note: Currently, we accept Bank Transfer for US only.)

Credit/Debit Card

Permissible refunds will be subject to a transaction fee of 15% of the refund amount or 35$, whichever is less.

Participant Agreement Information