Being Presidentially Present




Who is filling out this form?
First Name
Last Name
Who are the participants?
*First Name *Last Name *Address 1 Address 2 *City *State *Zip *Phone *Email
*Choose your retreat option
Being Presidentially Present Day Apart Retreat ONLY ($70)
"Presidentially Present" and "How would Jeremiah Vote" Day Apart Retreats plus overnight stay, dinner, and breakfast ($199)
*By clicking this box, you acknowledge that you have read our cancellation policy (below).

Be sure to check this box to register

Dietary Restrictions
Gluten Free
Dairy Free
Sugar Free
If "Other", please describe
Would you like give to support the ongoing ministry of Rolling Ridge?
Choose your donation amount
$10 ($10)
$25 ($25)
$50 ($50)
Or enter your own amount:
Only number values are allowed
Would you like to contribute towards the 3% bank charge we incur for accepting credit cards?
Only number values are allowed

CANCELLATION POLICY:  Should we need to cancel an event, you will receive a full refund OR YOU MAY APPLY THE AMOUNT TO ANOTHER PROGRAM. If you decide to cancel for any reason, your registration will be refunded minus a $25.00 processing fee if you notify Rolling Ridge by phone or mail at least 7days in advance of the event. Registration FEES are non-refundable if you cancel within 7 days of the program.  All Prices are Subject to Change.

Enter a Valid Coupon Code
I could offer a ride for carpool if there is someone coming from my area who needs a ride.
I could use a ride via carpool if you know of anyone coming from my area.
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