Form - Hartland Christian Camp

Your Name *

First

Last

Spouse Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Desired Housing: *

Deluxe (Linens provided, private bathroom)
Semi-Deluxe with linens (shared bathrooms down the hall)
Semi-Deluxe (private bathroom, but no linens provided)
Cabin's Plus (toilet/sink, no linens provided, community shower area broken up by guys/girls)
Cabin (bring your own linens, community bathroom nearby - that has both men's and women's sides)

Will you need to bring your newborn with you? (breastfeeding, etc.) *

The goal of the retreat is to offer a time for husband and wife to be together and grow. We also understand their may be a medical necessity to bring along your newborn child. Please note, liability waiver forms are still required for newborns, be sure to collect a form for both the mother and the newborn (0-12 months).

How'd You Hear About Us? *

Have you been to Hartland before? *

Yes
No, this is my first time.

Hartland been with

We understand this is a married couples retreat and comply with Hartland's Statement of Faith, understanding marriage to be between one man and one woman. *

We understand.

We understand no pets or emotional support animals are allowed. *

We understand.