Your Information

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Please provide a VALID email address. ALL retreat information will
be communicated to the email address provided.

Emergency Contact

*Cannot be someone registered to attend this retreat.

First Name *

Last Name *

Relationship to You *

Phone Number *

Second Emergency Contact (optional)

First Name

Last Name

Relationship to You

Phone Number

Transportation To/From Retreat

What City and State are you coming from? *

How are you getting to the retreat? *

See aiport and travel information below.

***If driving, are you willing to carpool with others who may be attending from same city/state?

Food Allergies

Do you have any food allergies? *

If you have a food allergy, please list here.

*We cannot provide a specialized menu to accomodate alternative eating lifestyles or diets. However, we will try to ensure the menu has varying options.

Sample Menu

Breakfast

o Scrambled Eggs
o Biscuit Gravy
o Sausage

o Fresh fruit salad

o Assorted cereal

Lunch

o Chicken Croissant Sandwiches
o Pasta salad
o Green salad
o Chips
o Brownies

Dinner

o Manicotti
o Vegetable medley
o Garden salad
o Tortoni ice cream

Lodging and Amenities

All attendees will be sleeping on bunk beds and will be sharing a room with 2-4 other women.

We will do our best to accomodate requests for bottom bunks due to specialized needs such as: medical situations, age, etc.

Please indicate your bed preference below.

*

I am requesting to reserve a bottom bunk.

I am okay with a bottom or top bunk.

*Beds are reserved on a first come basis.

------------------------------------------------------------------

Bed Linens and Towels

Pillows, fitted and regular sheets, a towel and a washcloth are provided for each attendee.
However, we suggest you bring additional towels and/or blanket if desired.

Additional Items to Bring

**We suggest you bring the following items:

- Hair dryer

- Hair products

- Hygiene products (to include toothpaste/toothbrush)

- Sneakers or comfortable shoes for walking

Retreat T-Shirts

All attendees will receive a complimentary t-shirt

Select your t-shirt size *

Images/Videos

All images and videos taken during the retreat are the property of Ann-Maria Benton Ministry and may be used for promotional and marketing purposes.

If our ministry records a video testimony of you related to the retreat, only your first name will be displayed. Videos may be edited for various reasons, such as length, lighting, and speed. However, the likeness or appearance of the individual recorded will NOT be altered.

Airport Information

The retreat location is located just outside of Knoxville, TN (Exact location will be provided 2 weeks prior to retreat start date).

If you are flying to the retreat, the nearest airport is in Knoxville Tennessee: McGhee Tyson Airport (TYS). The retreat is approximately 32 minutes from the airport.

Estimated Uber cost is $30.

* Estimates provided by Uber Estimator

Retreat Arrival / Departure Information

Retreat Dates

Arrival
Thursday, August 21: Check in Time: Beween 12 - 5 pm

Departure
Sunday, August 24: 9:30 am

Please book your flights or plan your drive time to align with these times.

Dinner will be served at 6pm on Thursday evening and Welcome/worship begins at 7:30pm. *Please do all you can to be in place BEFORE dinner begins at 6pm.

Payment and Refund Information

The entire retreat is $405 per person.

$75 deposit is required to reserve your spot.

After deposit is paid, the balance of $330 will be paid monthly (due by the 25th) of each month for 6 months). Entire payment due MUST be received no later than July 31, 2025.

Please read refund policy carefully

***If attendee cancels, the $75 deposit is non-refundable.

However, if attendee cancels after making full payments or four (4) months of consecutive payments, partial refunds will be considered for cancellations prior to July 7, 2025 (45 days before retreat start date). Partial refunds will be reviewed on a case-by-case basis.

*

I have read the payment and refund information and I agree to the terms outlined.

Please Add Your Signature *

clear

Today's Payment

Which payment method did you use? Please choose one. *

CashApp

Venmo

Zelle

Below is my CashApp, Venmo, or Zelle transaction information.

*

*Please include dollar sign "$" for CashApp or "@" for Venmo. Example: $yourname or @yourname. Or enter name used for Zelle account.

*

Select the date your payment was made. * +

Complete Your Registration

Click Submit to complete your registration.

You will receive a confirmation email from Ann-Maria Benton Ministry (info@annmariabenton.com) within 48 hours.