1. Application for Retreat Request
2. Location Please Select A Location August 10 - 13: Branson, MO August 16 - 20: Branson, MO September 3 - 6: Arlington, TN September 20 - 24: Centennial, WY October 5 - 8: Challis, Idaho October 18 - 22: Elephant Butte, NM November 4 - 8: Warrensburg, NY November 11 - 14: Warrensburg, NY *
3. Full Name*
4. Preferred Name

Contact

1. E-mail*
2. Work Telephone*
3. Home Phone*
4. Cell Phone
5. Street Address*
6. City, State, Zip*

Spouse

1. Spouse's Full Name
2. Spouse's Work Telephone:

Ministry Info

1. Church or ministry name*
2. Location of church or ministry
3. What is your current position in the church?

About

1. What is your age group? Please Select One 20s 30s 40s 50s 60s 70s or older
2. What is your personal goal for attending the retreat?*
3. What do you perceive to be your greatest needs at this time?*
4. What are your wife's greatest needs?*
5. What do you believe to be the greatest problems you face in your ministry?*
6. Are you able to climb stairs? Yes No

 

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provides spiritual help and encouragement to pastors and wives that serves to rekindle the fires of their passion for God and ministry as well as their love for each other.

Shepherds’ Haven of Rest Ministries Copyright © 2008-2009

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