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Church Making Request
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Phone #
*
Name of Group to Use Facility
*
Purpose of Retreat
*
Person in Charge of Retreat
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Cell Phone #
*
Phone Number
*
PARTICIPANTS
Youth (ages 7-17 years old):
*
Male
*
Female
*
Adults (ages 18 or older):
*
Male
*
Female
*
TOTAL PARTICIPANTS:
*
Male
*
Female
*
Dates requested: From
*
To
*
2nd Choice: From
*
To
*
Estimated Arrival Time:
*
Departure Time:
*
We will assure the facility is cleaned, all trash removed, and that all equipment is returned to its proper location. We understand that St. Peter's Lutheran Church will not be responsible in case of injury or illness to any participant while on the premises.
A certificate of proof of liability insurance must be submitted prior to your visit.
We agree to abide by the rules and regulations set forth by St. Peter's Lutheran Church Son & Sand Retreat Center.
Signature:
*
Title:
*
Date:
*
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Worship with Us
News & Events
Newsletter & Calendar
Sound System
Our Facilities
Son & Sands Retreat Center
>
Submit a Request
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