Kogudus Renewal Ministry
Retreat Registration
Date of Retreat ____________________ Location _______________________
Name _______________________________________
Address ____________________________________
____________________________________________
____________________________________________
Phone(s) ____________________________________________________
Email ________________________________________________________
Church Home __________________________________________________
Registration Fee Enclosed $ __________________
Donations make it possible to provide scholarships.
If you need a scholarship, please indicate here:__________
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Illinois Retreats Contact: John Cross; 2650 700th Ave. Emden, IL 62635,217-737-7270; jcross6000@gmail.com
Montana Retreats Contact: Pastor Greg Karlsgodt, 2622 Grassland Dr, Missoula, MT 59808; 406-544-1922; gk@kogudus.org
North Dakota Retreats Contact: Paul Hendrickson, 2759 67th Ave. NW, Parshall, ND; 701-743-4554; jhpfarm@restel.net