Application Name * First Name Last Name Your Email * Your Cell Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Name of Current Church` * City, State * Current ministry position? * How long have you served at your current church? * Select one: * Full-time Ministry Part-time Ministry Bi-vocational Ministry Spouse Name * First Name Last Name Spouse Phone * (###) ### #### Spouse Email How do you think you and your spouse would benefit from the Being Still Retreat? * Chronic Illness * Do you or your spouse have a chronic illness that may worsen at higher elevations? Yes No If yes, please explain Thank you!
