Retreat Registration Form

If you would like to pay for your retreat registration by check or money order, please print this page, fill in the requested information, and mail it with your payment to:

Attn: Dora
Abba's Heart Ministries
P.O. Box 734
Kingsburg, CA 93631

Name __________________________________________________      

Phone _________________  Alternate phone __________________ 

Address _________________________________________________

City _____________________________ ST _____ Zip ___________

E-mail (if available) _______________________________________

Please check which retreat you are registering for:

___ Queen Camp       ___ Common Ground

Please check one of the following:

___ $50.00 non-refundable, non-transferable deposit per person 

___ $295.00 full payment per person for Queen Camp

___ $395 full payment per person for Common Ground

If you would like to pay your deposit, then set up a monthly payment plan, please indicate how much per month, and when you will make payments:

I will pay $________ per month and send it by the ___________ of each month.

All balances are due one month before the retreat, at which time registration will be closed. 

If cancellation is received within one month before the retreat, full payment will be required and refunds will not be possible.

We will do our best to honor roommate requests.  Please indicate whom you would like to share a room with:

___________________________

___________________________

      ___________________________      

Single rooms are available at a higher rate.  Please call for information and availability if you are interested.