10⎪MARCH 2022⎪shop . cmausa . org
Pastor ’ s Name Position in Church Spouse ' s Name ( if attending ) Ages of Children * ( attending ) Name of Church
Church Mailing Address ( where you can receive mail )
City , State , Zip Cell Phone Email Address
Lodging – select one ❏ Hotel ❏ Full Service RV site
❏ Camping Cabin on Iron Mountain ( limited availability )
❏ Lodging not needed ( local or staying with friends )
Registration includes 3 nights of lodging , supper Tuesday night , and lunch and supper Wednesday and Thursday .
Retreat starts 5pm Tuesday with morning / evening services Wednesday and Thursday . It concludes Thursday evening around 8pm .
Children ’ s program and childcare provided . A Child Registration Form will be emailed to you .
Pets are restricted from retreat buildings . Advance notification is required when bringing a pet for appropriate lodging arrangements .
Confirmations and driving directions will be emailed 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 : events @ cmausa . org or fax 8703896199 or mail CMA , PO Box 9 , Hatfield , Arkansas 71945
Questions & Information : Events : 8703896196 option 7
* Registration is limited to one senior level pastor and spouse per church . Registration is open until the retreat is full or March 4 .