Men’s Retreat

Date: January 18–19, 2025
Begins: January 18th check-in 8:00 a.m. CT
Ends: January 19th at 11:30 a.m. CT
Location: Barren Heights Retreat Center
Address: 145 Yacht Club Rd., Scottsville, KY 42164
Deposit Required: $50 for fathers of children with disabilities, $75 for men without special needs children (non-refundable)
Weekend Includes: study materials, lodging, provided meals, & snacks (see below)

Join one of our founders, Joe Rose, and our Men’s Ministry guides, Bill Reynolds, Trent Bates, & John Weires, on this overnight stay at Barren Heights as we provide biblical encouragement, refreshment, relaxation, and recreation.

Provided meals: snacks throughout the weekend, lunch & supper on Saturday, breakfast on Sunday

We require a deposit* to reserve your spot for this retreat ($50 fathers of children with disabilities, $75 non-refundable for men without special needs children). Once your application has been approved, you will receive a confirmation email containing the link to our payment portal. We will wrap up around 11:30 a.m. Sunday. *NOTE: The required deposit is 100% refundable to parents who have children with physical or developmental disabilities. Additionally, the Barren Heights Retreat Center is in Central Time, so all times listed are in CST.

Spots for this retreat are limited, and there will be a waitlist. Please watch the email you provide at registration for confirmation on whether you have a spot at the retreat or have been placed on the waitlist.

Men's Retreat Application

• Full Name*
• Address*
  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
• Date of Birth*
  MM slash DD slash YYYY
• Email*
• Phone Number*
  Format: (xxx) xxx-xxxx
• Food Restrictions (if any)*
• Emergency Contact Full Name*
• Emergency Contact Phone*
  Format: (xxx) xxx-xxxx
• How did you learn about Barren Heights?*
  Internet SearchSocial Media GroupTherapyFriend, family member, colleague, etc.Other
• Do you have a child with a physical or developmental disability?*
  • Yes
  • No
• What are your hopes and expectations for the weekend retreat?*
• Have you attended a Barren Heights retreat before?*
  Yes, I've been a guestYes, I've been a volunteerNo, I'm involved in other waysNo, I'm new to the community
• Are you open to sharing a cabin with one other dad at this retreat?*
  Yes, I am comfortable sharing a cabinNo, I am uncomfortable sharing a cabin
• I'd like to receive email updates from Barren Heights!
  • Yes!

• All application information is kept confidential. Application information may be shared with retreat volunteers so they are better equipped to serve your family. This information will not be distributed or used for marketing purposes.

  Hold Harmless Agreement

  By checking the boxes below you are agreeing on behalf of your family to an electronic signature.

• Please check if you agree to the following statements.*
  • I give my consent that the information given at registration may be communicated with Barren Heights Christian Retreat Center, Inc. (Barren Heights) leaders and volunteers for the purpose of being equipped to provide the best care and assistance possible to my family.
  • I give my consent that photographs, interviews and audio/visual recordings during the course of the event may be used by Barren Heights for training, promotion, and fundraising.
  • I release Barren Heights, its directors, volunteers, and the Community & Retreat Center from all actions, damages, or personal injuries which may occur to me. I understand that in the event of a minor injury, I may receive first aid treatment. In the event of an emergency, injury, or illness, emergency medical services and I will decide the best course of action. If I am unable to respond to leaders or emergency medical services, I authorize them to take whatever action is necessary for my safety and health.
  • I understand that in order for everyone to experience a sense of calm, peaceful relaxation, the Retreat Center is an alcohol, drug, and smoke-free environment. Use of cell phones is discouraged except when necessary.
  • By checking this and the above statements and submitting this registration form, I hereby agree to this hold harmless form and all its contents. I waive on behalf of myself, my heirs, and any personal representatives all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss. I understand that this release discharges Barren Heights and the Community & Retreat Center from any liability or claim that I, my heirs, or any personal representatives may have against them with respect to any bodily injury, illness, death, negligence, medical treatment, or property damage that may arise from, or in connection to any services rendered. This liability waiver and release extends to Barren Heights and the Community & Retreat Center together with all owners, partners, volunteers, and employees.
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