Pastors & Wives Retreat Registration

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Middle Tennessee Pastors & Wives Retreat Registration

Hosted at Lighthouse Christian Camp, Smithville, TN

Registration Information - Please complete and return promptly

* Indicates required field

Pastor's Name *

First

Last

Wife's Name *

First

Last

Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

Cell Phone Number *

Email *

Church Name *

Church Phone Number *

City *

Number of Years in Ministry *

State *

Expected Arrival (Choose One): *

Thursday, October 6th Friday, October 7th Saturday, October 8th

Estimated Time of Arrival *

Meals (Choose all that apply): *

Bon Fire/Thursday Breakfast/Friday Lunch/Friday Dinner/Friday Breakfast/Saturday Lunch/Saturday

Overnight Accommodations? *

Yes No

Food allergies? *

Yes No

If yes, please list food allergies: *

Are there any special needs we should be made aware of? *

Please indicate your choice for a Scenic Camp Tour - Choose One *

Friday Morning - 9:00 a.m. Friday Afternoon - 1:00 p.m. No thank you

Please indicate your choice for a Pontoon Boat Lake Cruise - Choose One *

Friday Morning - 9:00 a.m. Friday Afternoon - 1:00 p.m. No thank you

I would like to meet one-on-one for prayer, counsel, and encouragement - Choose One *

Friday morning with Bro. David Revelle Friday afternoon with Bro. Gene Mims No thank you.

* A meeting time will be emailed to you once your Reservation is confirmed. Thank you!

The deadline to Register is Friday, September 23, 2022!

Reservations for suites, rooms, and cabins will be accepted on a first-come basis so please register as soon as possible to ensure your place.
Meals and lodging are complementary.
Be sure to click the Submit button to guarantee your reservation.

Submit Registration

Home
About
- Meet the Founder
- Statement of Faith
GETAWAYS
- I'M LOOKING TO GETAWAY
- I'M SUBMITTING OUR MINISTRY INFO
Prayer Requests
Podcasts
- Podcast Archives
Devotionals
GIVE
Contact