Admin Information

This section is not visible on the public form and will be populated via pre-fill connector based on the Campaign ID in the URL/link to this form.

Suggested Offering

Salesforce Campaign ID for this Event

Registration Status

Registration Pending

Thanks for your interest in this event! Registration is not yet opened, please check back soon!

Registration Closed

Registration for this event is now closed, please check out our other upcoming events!

Event Cancelled

Unfortunately, we had to cancel this event. Please check out our other upcoming events!

Registration Full

We have reached capacity for this event and are not accepting additional registrations at this time. If you would like to be added to a waitlist, please email us at houseprayer@csbsju.edu. We hope to see you at another event soon!

Event Name

Registrant Information

First Name

Last Name

Email Address

Phone Number

Attendee Count

This helps calculate the total ticket cost at the end of the form

I would like to register additional attendees

This event has limited seats available. Your registration will count as 1 seat. Please ensure that the total number of people you register will not exceed the seats remaining. Thank you!

Total # Seats Currently Available

Additional Registrant Information

First Name

Last Name

Email Address

Phone Number

Attendee Count

This helps calculate the total ticket cost at the end of the form

Fees

Standard Offering (total for all attendees you are registering)

Can you make the above listed Standard Offering for this event, which covers our cost?

Scholarship Amount Needed

If you need a larger scholarship than 50%, please contact our office to discuss options.

Registration Total:

I would also like to sponsor a scholarship.

Amount of scholarship to sponsor:

If no scholarships are requested for attendees of this event, the donation will be placed in our scholarship fund for future events. Thanks for your generosity!

Additional Donation Amount

If you make an additional donation, please provide us with your address so we can send you a year-end tax letter for your gift.

Mailing Street

Mailing City

Mailing State

Mailing Zip Code

Payment Information

Total Amount

Cardholder's Full Name

Cardholder's Email Address

Credit Card Number

Credit Card Expiration Month (MM)

Credit Card Expiration Year (YYYY)

Credit Card Security Code

If you cancel your retreat reservation more than two weeks before the start of the retreat, the House of Prayer will refund your payment, minus a $50 cancellation fee to cover our costs.

If you cancel your retreat reservation with less than two weeks’ notice, the House of Prayer will issue a refund of 50% of your payment. No-shows are not refunded.

We may be able to make an exception to this policy if you need to cancel because of an illness or emergency, and will review these situations on a case-by-case basis.
If you choose, you may donate all or part of your refund to the House. Let us know if you choose this option when you reach out to cancel.

In rare cases you may receive an error when submitting this form. If you receive an error, please contact us at houseprayer@csbsju.edu and we will help ensure your registration is successful. Thanks!

Contact Information