Breakthrough Sign-Up

To sign up for the Spiritual Breakthrough Retreat simply fill in some key info and click "Submit Form"
We will contact you concerning the upcoming Breakthrough weekend happening Friday, Jan 23 - Sunday, Jan 25.

As a reminder, there is a $15 fee for the weekend:
   1. you can pay online by clicking here - make sure you enter "breakthrough" in the designation box 
   2. place a check in the offering with "breakthrough" written on the memo
   3. stop by Information Central and pay there

 NAME           

ADDRESS    

PHONE #     

EMAIL          

DID YOU SUBMIT PAYMENT ONLINE? if not, how do you intend to pay

DO YOU NEED CHILDCARE? if yes, list their ages please

ARE YOU IN A SMALL GROUP? If so, what is the name of your Small Group Leader?