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
2023 Pastor ' s Retreat Registration Form
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 * Lodging for three nights * Supper for three nights * Lunch for Wednesday and Thursday
Retreat Schedule * Starts @ 5pm Tuesday * Ends around 8pm Thursday * Includes morning / evening services Wednesday and Thursday
Childcare Available * Children under 12 are welcome . A Child Registration Form will be emailed to you to complete your child ’ s registration for this event . * Limited Youth activities for ages 12-17 also available .
Pets are restricted from retreat buildings . Advance notification is required when bringing a pet for appropriate lodging arrangements .
Confirmations will be emailed upon processing your registration . 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 870-389-6199 or mail CMA , PO Box 9 , Hatfield , Arkansas 71945
Questions & Information : Events : 870-389-6196 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 .