River Region Couples Retreat 2026 Register for the River Region Couples Retreat: January 23 - 25th, 2026 Primary Contact Name(Required) First Last Primary Contact E-Mail(Required) Secondary Contact Name(Required) First Last Secondary Contact E-Mail(Required) Home Congregation(Required) Billing Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Agreement(Required) I understand that I can receive a full refund up to 30 days before the retreat's start date. If I cancel my registration within 30 days of the retreat, a $100 non-refundable fee will be retained to cover fixed expenses associated with my registration.Payment Type(Required) Pay by Debit/Credit Card Please make checks payable to Faulkner University. Down Payment Required ($100)(Required) Pay Full Amount (Yes) Pay Down Payment ($100) I have paid the down payment and would like to make an additional payment toward registration add_filter( 'gform_field_validation_101_22', 'donate_minimum_validation', 10, 4 ); function donate_minimum_validation( $result, $value, $form, $field ) { $min_amount = 25.00; $donated = str_replace('$', '', $value); if ( $donated < $min_amount ) { $result['is_valid'] = false; $result['message'] = 'A minimum amount of $'.$min_amount.'.00 is required to reserve your spot.'; } return $result; }Pay Down Payment Price: Registration Fee Price: Remaining Registration Amount Due **This option is only available for those who have already paid the down payment and would like to make additional payments toward their registration. A payment of less than $100 before the deposit is made does not guarantee a completed registration. Total Total Total Credit Card(Required) American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Security Code Cardholder Name CommentsThis field is for validation purposes and should be left unchanged. 2026 Retreat Schedule and Additional InformationRiver Region Couples Retreat Skip back to main navigation
