MidAmerica District Retreat: October 6-8, 2025
Please join us at Grand Hyatt Vail in Vail, CO. This will be a time of rest and relaxation with Jesus and each other!
Name
*
Email
*
This address will receive a confirmation email
Church/Ministry Name
*
Home Address
*
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Mobile Phone
*
Spouse's Name (if applicable)
Spouse's Email
I give permission to the MidAmerica District to contact me as they deem appropriate.
*
Please select all that apply.
Yes
No
Adult Registration
Ages 11+
One Adult ($45)
Two Adults ($90)
Three Attendees ($135)
Four Attendees ($180)
Five Attendees ($225)
Six Attendees ($270)
One Adult ($45)
Two Adults ($90)
Three Attendees ($135)
Four Attendees ($180)
Five Attendees ($225)
Six Attendees ($270)
Amount
Childcare Registration
Childcare will be available for ages 0-10 years old during the morning and evening sessions. Registration is required for children using childcare.
Child Registration
One child ($25)
Two children ($50)
Three children ($75)
Four children ($100)
Five children ($125)
Six children ($150)
No childcare needed ($0)
One child ($25)
Two children ($50)
Three children ($75)
Four children ($100)
Five children ($125)
Six children ($150)
No childcare needed ($0)
Amount
Please indicate names and ages of children:
Child Dietary Restrictions?
Please select one option.
Yes
No
Select Option
Yes
No
If applicable, please note child dietary restriction(s) along with the name of child
Lodging Reservation
Retreat Lodging (Monday(6th), Tuesday(7th), Wednesday(8th))
Double Queen (1 night) ($189.00)
King (1 night) ($189.00)
Double Queen (2 nights) ($378.00)
King (2 nights) ($378.00)
Double Queen (3 nights) ($567.00)
King (3 nights) ($567.00)
Condo 2 Bedroom (3 nights) ($964.00)
Condo 3 Bedroom (3 nights) ($1146.00)
I am not staying at Grand Hyatt ($0)
Double Queen (1 night) ($189.00)
King (1 night) ($189.00)
Double Queen (2 nights) ($378.00)
King (2 nights) ($378.00)
Double Queen (3 nights) ($567.00)
King (3 nights) ($567.00)
Condo 2 Bedroom (3 nights) ($964.00)
Condo 3 Bedroom (3 nights) ($1146.00)
I am not staying at Grand Hyatt ($0)
Amount
Extended Stay (Sunday(5th), Thursday(9th)) Select an option.
Sunday, October 5 ($189)
Thursday, October 9 ($189)
Sunday & Thursday night ($378)
Sunday, October 5 (2 Bedroom Condo) ($321)
Thursday, October 9 (2 Bedroom Condo) ($321)
Sunday and Thursday, October 5 & 9 (2 Bedroom Condo) ($642)
Sunday, October 5 (3 Bedroom Condo) ($382)
Thursday, October 9 (3 Bedroom Condo) ($382)
Sunday & Thursday, October 5 & 9 (3 Bedroom Condo) ($764)
None (0)
Sunday, October 5 ($189)
Thursday, October 9 ($189)
Sunday & Thursday night ($378)
Sunday, October 5 (2 Bedroom Condo) ($321)
Thursday, October 9 (2 Bedroom Condo) ($321)
Sunday and Thursday, October 5 & 9 (2 Bedroom Condo) ($642)
Sunday, October 5 (3 Bedroom Condo) ($382)
Thursday, October 9 (3 Bedroom Condo) ($382)
Sunday & Thursday, October 5 & 9 (3 Bedroom Condo) ($764)
None (0)
Amount
Arrival Date
*
Departure Date
*
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
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AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
Please join us at Grand Hyatt Vail in Vail, CO. This will be a time of rest and relaxation with Jesus and each other!
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