Res Life Reflect & Rise Sponsorship

Res Life Reflect or Rise Encounter Registration Form

Check in time on Wednesday in Big Rapids. The encounter will end Sunday early afternoon. More details will follow in the email you provide on this form.

Deposit to hold your spot is $249.00 and is non refundable. Res Life will pay the remaining balance of $200.00.

First name

Last name

Street Address

Street Address Line 2

City

State

Postal / Zip code

Phone

Birthday

Emergency Contact Name

Emergency Contact Phone Number

Relationship to Emergency Contact

Emergency Contact Email

Food Allergies

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 ($)

RESBR Reflect or Rise - $249.00

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

Res Life Reflect or Rise 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