IM Sponsored sign up

Welcome! We're so glad you're coming. Let's get started by gathering a little information. If you have any questions about this form or your registration process, feel free to contact us. 

Please review the Intermissionary Cancellation Policy and the Intermissionary Confidentiality Policy. 

Name *
Name
Phone
Phone
The best one you have.
Address
Address
The most permanent one you have?
Please write the amount you are paying for your retreat space.
Terms and Conditions
I understand that all accommodation for Intermissionary Retreats is double or more occupancy. I may be placed in a room with others of the same gender. I have read and comply with existing cancellation policies.