Christmas Gift Shop – Registration Form - Barren Heights Christian Retreat Center

Christmas Gift Shop - Shopper Check In Form

Name
First Last
Phone Number*

Format: (xxx) xxx-xxxx
Email*
Address*
Street Address City State ZIP Code
Do you have a child with a disability?*
Please give the first & last names and ages of the children living in your household that you are shopping for. (example Jacob Jones 15, Sarah Jones 10)*
How did you hear about this event?
Want to receive emails about future retreats, community events, and Barren Heights updates?
- Yes!
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We invite you to stay connected to what’s going on at Barren Heights! You will receive inspirational stories, ministry updates, event information, lots of fun pictures, and more!

Name*
First Last
Email*
Comments
This field is for validation purposes and should be left unchanged.