Guest Registration Form

Thank you for your interest in staying at Abbie Lane Retreat.

We are looking forward to hearing from you.  Please fill out the form below and submit to begin the registration process.  Please note that background checks are performed on all prospective guests.  If you have any questions, please don’t hesitate to contact us by phone or email.

 

 

Guest Name(s) (required)

Email (required)

Phone Number (required)

Address (required)

Church Affiliation (required)

Ministry Title / Responsibilities (required)

Reference with Contact Information (required)

Second Reference with Contact Information (required)

Children's Names and Ages

Purpose for attending Abbie Lane (required)

Date Range Preference (1) (required)
Date Range:

Date Range Preference (2) (required)
Date Range:

Date Range Preference (3) (required)
Date Range:

Special Requirements (food / health / other)