Mother/Daughter Encounter

Mother/Daughter Encounter Registration Form

Check in time on Friday is between 5:30 PM - 6:00 PM in Big Rapids on March 13-15, 2026.

You are welcome to come anytime after 3:00 PM. The encounter will end Sunday before 12:00 PM.

Cost of the event is $199.00 due at time of registering. This includes the price of the mother and one daughter. If additional daughters will be attending, an additional $99 per daughter will need to be added to the registration cost.

Mother's First Name

Mother's Email

Mother's Last Name

Mother's Phone

Mother's Birthday required

Daughter's First Name

Daughter's Birthday required

Additional Daughter's First Name

Additional Daughter's Birthday

Mother's Food Allergies

Daughter's Last Name

Daughter's Food Allergies

Additional Daughter's Last Name

Additional Daughter's Food Allergies

Street Address

Street Address Line 2

City

State

Postal / Zip code

Emergency Contact Name

Emergency Contact Phone

Emergency Contact Email

Relationship to Emergency Contact

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 ($)

Registration with 1 Daughter - $199.00

Registration with 2 Daughter's - $298.00

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

Mother/Daughter 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