Come Alive Retreat Registration Form

First Name *

Last Name *

Email *

Phone Number *

Describe your current faith walk:

(include disciplines, practices, degrees, serving/leadership experiences, etc…)

Describe your current health:

(include daily diet, sleep patterns, workout frequency, fitness format/preferences, etc...)

Describe your fitness schedule:

(i.e. daily workouts, high impact workouts, low impact workouts, gardening, etc.)

Are you currently taking any medications?

If YES; to ensure safety during the weekend, please list:

Please share the name& phone number of an emergency contact:

What is your primary motivation for signing up for the retreat?

Please complete the following statement: I am currently praying and believing for...

I have...

Accepted Jesus into my heart
Been water baptized
Received my prayer language

Please check all that apply.

If you did not check any of the above, are you interested in learning more?

Please complete the following: At the end of the Come Alive weekend, my highest hope and prayer is...

ACCOMMODATIONS: This weekend is an amazing fellowship opportunity, as the Harbor Stay resort is designed for intimate conversations and connections! There are a variety of room types and bedding options; some include bunk beds, trundles, queen sized beds and multiple people in a room. Think: summer camp at the Ritz Carlton! Please respond to the following questions to best pair you with your fellow sisters for the weekend experience.

My preference for bed is:

Top Bunk
Bottom Bunk

If you are attending with a loved one, please note if you feel comfortable sharing with your daughter, mother, sister, BFF…

On a scale of 1-5 (1=light sleeper! I can hear a pin drop! 5=heavy sleeper; I can sleep through a hurricane!), my sleep level is:

I snore.

On a scale of 1-5 (1=ABSOLUTELY NOT, 5=not a problem) please note your tolerance level for snoring:

Please note anything additional about your sleeping habits that would be necessary in coordinating your sleeping arrangements. (i.e. I use the restroom several times a night, I need an outlet for a sleep apnea apparatus, I sleep walk…)

MEALS: The weekend includes all of your meals and snacks. Please respond with as much detail as possible about food/meal preferences so we can plan accordingly and attempt to meet your requests:

I have food allergies.

If YES, please list all food allergies:

My diet is:

Gluten-Free
Dairy-Free
Nut-Free

I am a:

Carnivore
Pescatarian
Vegetarian
Vegan

My favorite kind of food is:

(Italian, Thai, salad, steak, etc…)

My favorite snacks are:

List minimum of 3

My favorite candy is:

While we will try to meet your dietary needs, we know that you may have preferred items. You are welcome to bring your own yummy treats. There is a full size kitchen with two refrigerators, so we are able to store items if you choose to bring your own items. NOTE: Space is limited.

Please list items you are planning to bring.

On Saturday afternoon, we will have an open marketplace with an opportunity for attendees to share their products and/or services with others. It’s a captive audience to share and showcase your unique business with others, as this will be limited to one vendor per industry (i.e. one cosmetic consultant, essential oil, etc…) The cost for the 2-hour table rental is $25.

Are you interested in hosting a table at the Saturday afternoon marketplace?

If YES; please share: Business name, Industry, Website, and Social handles

You may be requested to share your logo with the retreat organizer.

Success! Thanks for signing up!