Retreat Info Form - Race to Grace

Name

First

Last

Email

Phone Number:

Which retreat(s) are you inquiring about?

Grace on the Water (Lake Perris, CA)
Grace in the Valley (Johnson Valley, CA)
Grace in Glamis (Glamis Sand Dunes)

How many people will be attending?

Is this request for you or on behalf of some else?

Me
Nominating Someone Else

this retreat(s) requests

Why are you nominating this person (or yourself)?

If this request is on behalf of someone else in need, please make sure you include details, contact information and why you are nominating this person/family.

Are there any other details or requests you would like to provide?

Where did you hear about our retreats?