Pastor Wellness Retreat

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* These fields are required

1 Welcome to Ingalls Creek Enrichment Center!

3 People in your group

Enter names and emails of people you are paying for now and rooming with if you selected more than one guest in the lodging step. Then continue this registration for yourself. Additional guests will be emailed a separate registration form to collect their information (dietary needs, etc.).

Guest 1		First Name* Last Name* Email* Medical Issues* What medical issues should staff know about so you can have a better experience? Enter "none" if you have no issues Special Diet* We can accommodate gluten free, dairy free, allergies, etc. Our Food Services Director will follow up with you individually.
Guest 1		First Name* Last Name* Email* Medical Issues* What medical issues should staff know about so you can have a better experience? Enter "none" if you have no issues Special Diet* We can accommodate gluten free, dairy free, allergies, etc. Our Food Services Director will follow up with you individually.

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4 Optional Items

5 About you

Mailing Address *
Address 2
City *
State/Prov. *
Zip/Postal *
Country *
Phone *
Secondary PhoneNumber (optional)
Gender *
Church Affiliation (optonal)	Name and town of the church you are involved in.
Position or title in your church (optional)	Please complete this if you are leadership or staff or volunteer.
Position or Title in your organization (option)	Please complete this if you are leadership or staff or volunteer.
Organization Affiliation (optional)	Name of non-profit organization you are involved in.

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6 About your stay

Medical Issues *	What medical issues should staff know about so you can have a better experience? Enter "none" if you have no issues
Special Diet *	We can accommodate gluten free, dairy free, allergies, etc. Our Food Services Director will follow up with you individually.
Please specify any dietary needs
Emergency Contact name, phone number, email, relationship to you *	Who can we contact on your behalf in case of emergency during this event? Provide their name, phone number, email address, and relationship to you.
What else should hosts know so you have a great experience?	Comments or special needs like mobility, when available, questions, or anything at all.
Email newsletter	Please send me Monday Morning at Ingalls Creek emails. A quick update of how Ingalls Creek is celebrating, working, and praying each week, plus a quotation and question to reflect on.
Have you been to Ingalls Creek before?
How did you hear about this event?
How did you hear about this event?

7 Policies

Liability Release *	I have read the Liability Release below and I agree to the stated terms. Ingalls Creek Enrichment Center Events Liability Release/Consent statement: All reservations and registrations are subject to confirmation and approval by Ingalls Creek Enrichment Center management. Agreement to this release statement is required for your participation. Hold Harmless: The individual(s) named in this registration agee(s) to indemnify, hold harmless, and defend Ingalls Creek Enrichment Center (ICEC) and its agents and employees from any and all loss or liability arising from participation in activities and events organized by ICEC and the use or occupancy of ICEC premises by any persons whomsoever during the time ICEC is used or occupied by the registering individual. This includes any and all housing accommodations (extending to Alanna’s Landing if used during an ICEC event), parking, trailer parking, tent camping or glamping, trail use, and use of ICEC vehicles. This hold harmless agreement includes, but is not limited to, any claim for personal injury or death of any ICEC participants, personnel, contractor employees, agents’ invitees, and/or servants. Please Note: Ingalls Creek Enrichment Center reserves the right to deny use or to terminate use privileges to any individual or group that the ICEC board or its representative determines to be harmful to facilities, ministries, or purposes of ICEC, including disruptive or undesirable behavior impacting neighbors or other users. ICEC purposes are stated in the bylaws of Ingalls Creek Enrichment Center, with particular emphasis on Article IV, Tenets of Faith, and in the ICEC vision statement, available on request.
Cancellation policy *	I understand and agree to the cancellation policy below.CFCC Cancellation policy: If you have to cancel within 10 days of the event, no refund will be issued. If you have to cancel 11 or more days before the event, you will be issued a refund minus an administration fee of $50. If ICEC has to cancel the event due to extreme weather or any other reason, you will have the option to hold your payment in credit for a future event or stay, or to receive a refund.
Photo release *	I/we (if multiple guests are registering together) grant permission to Ingalls Creek Enrichment Center to photograph me/us and to use the photographs, video and/or film in ICEC audio-visual and printed materials without compensation or approval rights.

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8 Optional donation

$	Make a donation to sponsor this program Help other pastors experience spiritual renewal and be equipped to engage with contemporary culture and congregational reality.
$	Make a donation to Ingalls Creek Enrichment Center: sustaining gifts Help grow the network of people who expeience transformation and carry Christ's life-shaping work into communities near and far.

9 Security Check

Security check

10 Payment

Discount code

Payment processing fee	I agree to cover the costs of processing this registration by paying the payment processing fee.
3% Payment processing fee	$0

Sub Total	$0

Donations	$0

Taxes	$0

50% Deposit	$0

Due Now	$0 $0

Remaining Balance	$0

Choose Payment Option

	Your registration will be complete once we receive your payment. Please mail your check to ICEC, 12355 Ingalls Creek Rd, Peshastin, WA 98847 Click on the button below and these instructions will be repeated on the next page.

	By submitting payment, you authorize Ingalls Creek Enrichment Center to send instructions to the financial institution that issued your card to take payments from your card account in accordance with the terms of Ingalls Creek Enrichment Center's agreement with you.

1 Welcome to Ingalls Creek Enrichment Center!

2 Select your room

Select an option*

Alpine Apartment in Lodge - private

Alpine Apartment in Lodge - Shared

Lupine Suite in Lodge - private

Lupine Suite in Lodge - shared

Shared Bunk Rooms in Lodge

Bedroom in Woodland Chalet, upstairs

Bedroom in Woodland Chalet, ground floor

Loft in Woodland Chalet

Bedroom in Alanna's Landing, upstairs

Bedroom in Alanna's Landing, downstairs

Commuter option

RV or Trailer Campsite

3 People in your group

4 Optional Items

5 About you

6 About your stay

7 Policies

8 Optional donation

9 Security Check

10 Payment