Registration – Staff Use

This page is for staff use and for those authorized by staff to submit late registrations.

2019 Retreat Registration

Pre-Retreat Options

Please indicate if you will participate in a pre-retreat training session. Depending on your choice, you may see additional items below to complete.
Please mark all HC certification training courses you will attend. Note: dinner will be available at 5:30 p.m.

Good Neighbor Experiment signup

The Health Fund is offering a special opportunity for up to 10 Healthy Congregations churches to participate in the Good Neighbor Experiment (GNE) 2019 Cohort. The initial training workshop is April 25, ahead of the full retreat. Please see the Good Neighbor Experiment page on this site for full details. If interested, please choose the GNE option above then fill out the fields below.
My Role
GNE teams ideally include one church staff member and four laypersons as a minimum but variations are possible, subject to approval. If you would be the GNE team leader, please note here and list team member names below. Teams must be HC-based but community members outside the church are welcome and encouraged. Members of your team beyond the church are welcome to stay and participate in the full retreat if they would like to.
Please list names of those participating on your GNE team, and be sure they register for the training as well.

Registrant Information

Please enter a mobile or other phone number where you may be easily reached should we need to contact you.
Please enter your email address. You will receive your confirmation and other important retreat information via email.
Address
City
State/Province
Zip/Postal
Please list the name and phone number of one or more persons who should be contacted in case of an emergency situation while you're at the Retreat. You may include relationship information, if you wish (spouse, child, friend, etc.).
Rock Springs rooms hold between 2 and 4 people. We'll attempt to house you with your preferred roommates. Be sure to have them register as well and ask to stay with you. Couples will be housed in private rooms (subject to availability).

Accommodations

Note: an early Friday breakfast is included for those staying over Thursday evening.
Please mark each meal you plan to eat during your stay.

Breakout Selections

Please indicate your preferred Friday and/or Saturday breakout session choice. It's ok to change your mind later, but this helps us plan seating and handout printing.

Refundable Deposit

A $25/person deposit is required to finalize registration. You may use a credit/debit card or mail us a check. With the card option, your account will be charged upon registration but you will receive a full refund back to your card after checking in at the retreat. Card transactions are handled by PayPal Nonprofit - we do not see or keep your card information. If you choose to mail a check, we'll hold it and return it to you at the retreat.
If paying by card, you will be forwarded to our secure PayPal form which allows us to receive card payments. No PayPal account is needed - just click "Pay with Debit or Credit Card" on that page to check out as a guest and not create a new account. If paying by check, make payable and mail to United Methodist Health Ministry Fund PO Box 1384, Hutchinson, KS 67504-1384. Questions/problems? Contact Jeff Gamber jgamber@healthfund.org 620-662-8586 for help.