Register Men's Retreat Men's Retreat is for adults of 16+. with a cost of $160. Register before early bird deadline and get an early bird price of $130. 1 Personal Info2 Payment Select a Camp & DateMens Retreat 2019*Mens Retreat 1 - March 22, 2019 to March 24, 2019 (Early Bird Deadline: February 22, 2019)Mens Retreat 2 - October 25, 2019 to October 27, 2019 (Early Bird Deadline: September 25, 2019)Registrant InfoName* First Last Date of Birth* Address* Address City State / Province Zip Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Email* Enter Email Confirm Email This is also where your registration information will be sent.Cell Phone*Home PhoneWork PhoneHave you previously attended a retreat, camp or other event with Cedine Ministries?YesNoChurch InfoChurch NameChurch Location Address City State PastorGroup LeaderRoommatesIf possible, I would like the following people to be my roommates.Roommate 1Roommate 2Roommate 3Roommate 4Specific Housing RequestFull payment and completed registration form required: to reserve a specific housing unit you must complete this registration form along with full payment for each person requesting the unit. Please note housing is assigned as full payment is received. Some units will be reserved as much as a year in advance. We reserve the right to reassign rooms to those who have mobility needs, even if you have paid in full for that room. NOTE: This is only if absolutely necessary. We make every attempt to house you as requested when you pay in full.1st ChoiceBereaElimFairhavenGrace HouseHance HouseMamreNarniaNash HallRamahVillage Cabin2nd ChoiceBereaElimFairhavenGrace HouseHance HouseMamreNarniaNash HallRamahVillage CabinComments or Requests PaymentSelect Amount to Pay*Since it's before December 31, 2016, you get this year's early bird discount if you pay in full. (Mens Retreat 1 - March 24, 2017 to March 26, 2017)Pay in Full - MR1 ($35 Off) - $125.00Pay a Deposit - MR1 - $75.00Select Amount to Pay*Since it's before February 22, 2019, you get an early bird discount if you pay in full. (Mens Retreat 1 - March 22, 2019 to March 24, 2019)Pay in Full - MR1 ($30 Off) - $130.00Pay a Deposit - MR1 - $80.00Select Amount to Pay*(Mens Retreat 1 - March 22, 2019 to March 24, 2019)Pay in Full - MR1 - $160.00Pay a Deposit - MR1 - $80.00Select Amount to Pay*Since it's before December 31, 2016, you can pay the 2016 early bird price for 2017 retreats if you pay in full. (Mens Retreat 2 - October 27, 2017 to October 29, 2017)Pay in Full - MR2 ($35 Off) - $125.00Pay a Deposit - MR2 - $75.00Select Amount to Pay*Since it's before September 25, 2019, you get an early bird discount. (Mens Retreat 2 - October 25, 2019 to October 27, 2019)Pay in Full - MR2 ($30 Off) - $130.00Pay a Deposit - MR2 - $80.00Select Amount to Pay*(Mens Retreat 2 - October 26, 2018 to October 28, 2018)Pay in Full - MR2 - $160.00Pay a Deposit - MR2 - $80.00Credit Card Info American ExpressDiscoverMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Security Code Cardholder Name If you have a coupon code, enter it here Cedine verifies coupons for each registration. If you are using a coupon without authorization, you will be responsible for full payment of fees.Total $0.00 Camper Agreement* I understand and agree to abide by all the camp policies I agree that the submission of this online form, along with my payment, indicates that I understand that pictures will be taken during my time at Cedine. I give my permission for the use of such pictures for the promotion of Cedine's camp, retreat or conference ministry through video, print or digital media.Refund and Transfer Policy* I have read and understand the refund and transfer policy. I agree that the submission of this online form, along with my payment, indicates that I understand the refund and transfer policy. Transfers to another retreat MUST be made at least 14 days before the registered retreat begins. The payments are transferable to another retreat this year or next year depending on availability as long as you have given a 14 day notice. You may transfer payments to an unregistered person if you are unable to attend. No payments may be transferred to a person who is already registered. If you are unable to attend, cannot transfer it to an unregistered person, and have not notified us at least two weeks prior to the retreat, your money is not refundable or transferable.Your credit card will be charged when you click submit.