The Crucible Project

Are you registering for yourself or someone else?

Weekend Information

You are registering for

Retreat Date:
May 14, 2021 - May 16, 2021
St. Charles, IL

Attendee Information

If you are registering a person other than yourself, provide THEIR information below only after the person you are registering has agreed to attend the weekend, has given you permission to complete their registration on their behalf.

Attendee Name

Attendee Contact Information

Attendee Address

Payment Information

PLEASE NOTE - Every registration must include a deposit. The recommended amount is $100. However, a minimum of $10 is required. If needed, we will work with you, through our Financial Assistance program, to find ways to cover the cost of the remaining balance.

Options (Select One)

Enter Your Custom Amount Below

Enter an dollar amount between $10.00 and $595.00 below. Any amount of $100 or less is non-refundable but may be applied to another weekend within 12 months.

Financial Assistance

Credit/Debit Card

PLEASE NOTE - If you are making a payment towards someone else's retreat, fill out YOUR information below.

Payer Name

Payer Contact Information

Payer Address