REFUGE REGISTRATION

Please don’t register until you have your Airline tickets. Email info@refugefoundation.org with any additional questions.

About You

Which Refuge location are you registering for?*

Refuge Montana - Fort Smith, MT Refuge Wyoming - Hyattville, WY

Name*

First Name

Last Name

Mobile Phone*

This needs to be the phone you will carry with you at Refuge

Email*

Emergency Contact Name*

First Name

Last Name

Emergency Contact Phone*

Home Address*

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

Date of Birth*

Your Organization or Church

Organization or Church Address

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

Occupation*

Ministry Non-profit Marketplace

Keeping World Changers in the Game

Pastor,

We are so excited for your upcoming trip to Refuge. We have been praying diligently for you and your ministry and exist to serve you. Whether this is your first time or one of many with us, we’re honored to be a place of refuge.

We realize that in some cases as a Pastor, funding can be challenging. 1 out of 5 Pastors who come to a Refuge Foundation location pay nothing as the costs to serve are underwritten through generous donations of other individuals, churches, and organizations.

The 2024 suggested donation for a Pastor is $2,000. If you can do more, please do as your support helps those Pastors who need sponsorship. If everyone on your trip contributes an extra $100 your Group can scholarship a Pastor.

We never want to let financial limitations stop Pastors from attending Refuge. If you need assistance, please let us know.

Love you,

Brian Carpenter

Founder | Refuge Foundation

Donation*

I am personally donating $2,000 I have a sponsor Both: personally donating and also have a sponsor

If you have a sponsor, please list the name or organization who is sponsoring you:

Keeping World Changers in the Game

Marketplace Leader,

We are so excited for your upcoming trip to Refuge. We have been praying diligently for you as a World Changer in your area of influence. Whether this is your first time or one of many with us, we’re honored to be a place of refuge.

While you may not be in vocational church ministry, your ministry is significant to those you influence. Your impact in God’s Kingdom can be significant, whether to co-workers, employees, customers, share holders, friends or family - and support for your Pastor and Church.

1 out of 5 Pastors who come to a Refuge Foundation location pay nothing as the costs to serve are underwritten through generous donations of other individuals like you, churches, and organizations.

The 2024 suggested donation for a Market Place Leader is $3,000. If you can do more, please do as your support helps those Pastors who need sponsorship. If everyone on your trip contributes an extra $100 your Group can scholarship a Pastor.

Love you,

Brian Carpenter

Founder | Refuge Foundation

Donation*

I am personally donating $3,000 I have a sponsor Both: personally donating and also have a sponsor

If you have a sponsor, please list the name or organization who is sponsoring you:

Keeping World Changers in the Game

Non-Profit Leader,

1 out of 5 Pastors who come to a Refuge Foundation location pay nothing as the costs to serve are underwritten through generous donations of other individuals like you, churches, and organizations.

The 2024 suggested donation for a Non Profit Leader is $2,000. If you can do more, please do as your support helps those Pastors who need sponsorship. If everyone on your trip contributes an extra $100 your Group can scholarship a Pastor.

Love you,

Brian Carpenter

Founder | Refuge Foundation

Donation*

I am personally donating $2,000 I have a sponsor Both: personally donating and also have a sponsor

If you have a sponsor, please list the name or organization who is sponsoring you:

It is critical that your flights were booked in the specific time frames that were outlined in the Guest Details shared with you. And please do not register without your flight information.

Trip Info

Host or Host Organization who invited you (if applicable)*

Refuge Trip Start Date*

How are you getting to Refuge?*

Commercial Airline Private Flight Driving

What airport are you flying into?

Arrival Airline and Flight #

Flight Arrival Date and Time

Departure Airline and Flight #

Flight Departure Date and Time

If you are arriving a day early, which hotel will you be staying at?

We will come and pick you up the day your trips begins

Trip Details

Any food restrictions we should be aware of?

If gluten-free, please list if you are celiac or if you have gluten sensitivities

Any special needs we should be aware of?

We provide all fishing gear, rods, reels, waders, and boots for every guest. If you plan to utilize the gear, please select what you will use below.

Rod and Reel? Waders and Boots?

Comments

LIABILITY WAIVER

By checking yes below, I hereby release the Refuge Foundation and its officers and employees from any liability of personal injury, or loss or damage to personal property during activities associated and/or participated in while on my Refuge Foundation Adventure.

I acknowledge that I understand the waiver described above. Waiver is made to the maximum extent permissible under applicable law. I acknowledge that I have agreed to this under my own free will.

I AGREE*

Yes No

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