Marriage Registration Form

Road to Unity Encounter Registration Form

Check in time and location of encounter will be emailed to you after sign up is complete.

*Deposit to hold your spot is $499.00 (deposit is non-refundable)

Cost of the encounter is $899.00, the full payment is due 3 weeks before the encounter starts unless other payment arrangements have been made. (If you would like to pay the full amount upon registering, adjust payment amount to $899.00 on the next page).

**Scholarships are available if needed, please contact Chuck at chuck.theroadmap@gmail.com

Husband's First name

Husband's Email

Husband's Last name

Husband's Phone

Husband's Birthday

Wife's First name

Wife's Email

Wife's Birthday

Husband's Food Allergies

Wife's Last name

Wife's Phone

Wife's Food Allergies

Street Address

Street Address Line 2

City

State

Postal / Zip code

What is the name of your home church?

How did you hear about us? (If friend or church, please write the name)

Prayer Requests

Select an item ($)

Road to Unity Deposit-Non Refundable - $499.00

Road to Unity Registration - $899.00

Thank you for signing up for an Encounter. More information will be emailed to you.

Road to Unity Encounter Registration Form

3217 108th St SW Byron Center, MI 49315 Chuck- 616-291-6493 info.theroadmap@gmail.com

3217 108th St SW
Byron Center, MI 49315
Chuck- 616-291-6493
info.theroadmap@gmail.com