CMA National Events
2019 Pastors’ Retreat Registration Form
Pastor’s Name
Position in Church
Spouse's Name (If attending)
Ages of Children (attending)
*Child Registration Form will be emailed to you
and needs to be completed before your retreat
registration can be confirmed.
Name of Church
Church Mailing Address
(where you can receive mail)
Church Phone
Home Phone
Pets are restricted from retreat buildings. Advance
notification is required when bringing a pet for
appropriate lodging arrangements.
Cell Phone
Lodging (SELECT ONE)
r Hotel
r Full Service RV Site
r Lodging not needed (local or staying with friends)
If coming alone, please check here if you would be willing to share a room. r
CMA Member Inviting You
Member’s Phone & E-mail
Pastor’s Signature
Your registration includes 3 nights of hotel lodging
with lunch and supper meals during the retreat.
Camping is available upon request. Breakfast and
transportation are not included and are the only
expenses the pastor is responsible for.
Child care and children’s program available and
volunteer opportunities for teens. A completed
Child Registration Form is required to confirm
your retreat registration.
C ITY , S TATE , Z IP
E-mail Address
PLEASE TYPE OR PRINT CLEARLY
Note: The retreat is limited to one senior level pas-
tor and spouse per church. Registration is open
until the retreat is full or March 6, whichever
comes first. This is not a motorcycle event. Retreat
begins at 5:00 p.m. on Tuesday and concludes
Thursday evening.
Confirmations and driving directions will be
emailed, faxed, or mailed prior to the retreat. If you
do not receive a confirmation, please call us to
confirm that your registration was received.
Send completed form to:
[email protected] or fax 870-389-6199 or
mail CMA, PO Box 9, Hatfield, Arkansas 71945
Questions & Information:
Sandy Miller 870-389-6196 ext 235