Registration Form

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:__________
/

Illinois Retreats Contact:  Vicki Crane, 7713 Delavan Road, Delevan, IL  61734; 309-244-9045; jvcrane@aol.com

Montana Retreats Contact:  Pastor Greg Karlsgodt, 2622 Grassland Dr, Missoula, MT 59808; 406-544-1922; gk@kogudus.org

North Dakota Retreats Contact:  Joy McSparron, 609 Loyal Ave, Hillsboro, ND  58045; 701-636-2095  or  701-361-9990; jmcsparron@nbinternet.com

           Come, Holy Spirit!                         Revive Your Church!                       Begin With Me!

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