Children’s Ministry Retreat Registration "*" indicates required fields Step 1 of 4 25% Contact DetailsChurch Name* Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Group Leader Name* First Last Phone*Group Leader Email*If different from above Attendee DetailsNumber of Male ChildrenNumber of Female ChildrenNumber of Children*Number of Adult MalesNumber of Adult FemalesNumber of Adults*Total Participants* T-Shirt SizesYouth S Quantity Price: $0.00 Quantity Youth M Quantity Price: $0.00 Quantity Youth L Quantity Price: $0.00 Quantity XS Quantity Price: $0.00 Quantity S Quantity Price: $0.00 Quantity M Quantity Price: $0.00 Quantity L Quantity Price: $0.00 Quantity XL Quantity Price: $0.00 Quantity XXL Quantity Price: $0.00 Quantity Other CBFVA Event Payment PolicyPayments, Adjustments, Cancellations and Refunds*•A 50% deposit is required at the time of registration, with the remaining balance due upon arrival onsite. •Payments can be made online using a credit card or by mailing a check to CBF Virginia, PO Box 425, Midlothian, VA 22321. •Online payments may be subject to an added online payment processing fee of 2.9% •Changes to the number of participants may be made 3 weeks prior to the Children's Ministry Retreat. •Any changes to registrations or group cancellations must be submitted in writing via email to office@cbfva.org. •All deposits are non-refundable and non-transferrable I agree to the Payments, Adjustments, Cancellations and Refunds policy.Event Selection and PaymentA 50% deposit is due at registration. Invoices for remaining balance will be sent 2 weeks prior to event start date. Cost per Participant Price: Deposits QuantityPlease re-enter the total number of participants in your group. Price: $50.00 Quantity Total Please note: This total reflects a 50% deposit. You will be sent an invoice for the remaining balance before the event.Payment Preference* Check Credit Card Credit Card Check PaymentPlease be sure to send in your check to CBF Virginia at PO Box 425, Midlothian, VA 22321. Δ