https://wwwSteadfastleaders.org/GRFORM.html

REMINDER: This FORM is processed on your behalf Only Once (Per SL RETREAT)

IMPORTANT: If any Field does NOT apply Write N/A

GR-FORM (START HERE)

WELCOME!
NOTE: The (Referral) Questions are for (NEW GROUPS ONLY)

*** Were you Referred to the SL RETREAT by Another Church / Pastor Friend? *

*** If your answer is Yes, please write (their) Reference Number Here (If you have it) *

* Indicates required field

1. Choose your (current) Group Status *

1a. (Patron-Group) Write Account (#) *

2. Write Full Church Name & Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

3- Sr. Leader /Pastor's Name *

First

Last

4- Sr. Leader /Pastor's Email *

5- Sr. Leader Cell Ph# *

6- Choose the *MONTH That Your Group Will Attend SL RETREAT *

6a- CONFIRM (write) the Exact DATE for your SL RETREAT ... M/D/Y *

7- Choose One or More [Registry Option] *

(GR) ADULTS (18 +yrs... @ Pymt. Due (GR) TEENS (13-17 yrs... @ Pymt. Due (GR) JUNIORS (9-12 Yrs) .... FREE (GR) YOUTH (4-8 yrs) ....... FREE (GR) INTODS (0-3 yrs) ..... FREE (GR) *GCP - One 1-ADULT... FREE YES! We Are Using Referral Points (RP) to Obtain FREE ADULT Registrants

8. Submit Your (RP) Activation Code (If Apply) *

8a. How many (RP) are you Activating And how many FREE ADULT Registrants (If Any) *

8b. Submit the Names of (RP) FREE-ADULT Registrants (if any) *

(*8c) Sumit Name of Attending GCP Registrant *

First

Last

8d. How many ADULTS @ Payment Due *

8e. Names of ADULT Registrants @ Pymt Due *

9. How many TEENS (13-17 yrs) @ Pymt Due? *

9a. Names of TEEN Registrants *

10. How many JUNIORS (9-12 yrs) @ FREE *

10a. Names of JUNIOR Registrants *

11. How many YOUTH (4-8 yrs) @ FREE *

11a. Names of YOUTH registrants *

12- How Many INTODS (0-3) Yrs @ FREE *

12a. Names of INTOD registrants *

(GCP)
Group Contact Person's Information
(for office use only)

13- Your Name (GCP) *

First

Last

13a. Contact's Email *

13b. Contact's Cell Ph# *

14. CHOOSE A METHOD OF PAYMENT: Please Send your (Check) payment (within Five (5) days) by Registered Mail OR Electronic Deposit * Made payable to: STEADFAST LEADERS Inc. *

SUBMIT & CONTINUE

WELCOME!NOTE: The (Referral) Questions are for (NEW GROUPS ONLY)

WELCOME!
NOTE: The (Referral) Questions are for (NEW GROUPS ONLY)