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2025 Soul of a Ministry Leader - Penns Creek REGISTRATION

Yes! You are registering for our 2025 Soul of a Ministry Leader Retreat, April 30-May 4, 2025 in Pennsylvania.

Please take a moment to complete the following information.

Contact Information

Name *

First Name

Last Name

Preferred Name/Nickname *

Preferred Name/Nickname

Email *

Verify Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Emergency Contact *

First Name

Last Name

Emergency Contact Phone *

Fishing & Trip Information

Please provide some information to help us best prepare for your adventure.

T-Shirt Size *

Small

Medium

Large

X-Large

2XL

Fishing Experience *

I have never been Fly Fishing before.

I have been Fly Fishing a few times.

I consider myself an angler.

I consider myself an advanced angler.

Fishing Equipment *

What equipment will you be BRINGING?

Fly Rod

Waders/Boots

None

Height

Weight

Boot/Shoe Size *

Any Allergies? (Plant, Insect, Medication or Food) *

Any Food Restrictions? *

Payment Information

The cost of this retreat is $1,500.

Choose Your Payment Amount: *

$250 - Deposit DUE at Registration

$1,500 - Pay in FULL

Add 3% to my total amount to help cover the payment processing fees