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

As-You-Can 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

Suggested Offering

As-You-Can Offering

Which Offering would you like to make?

Registration Fee Total:

If you would like to make an additional donation, please enter the donation amount here:

Ir making an additional donation, where would you like it designated?

Bishop Anderson Scholarship FundGeneral Fund

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

Credit Card Expiration Year

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