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Pastor Stay Request
Please note, this form is for use by those Pastors who have actively partnered with Hartland over the past 12 months.
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Church Name:
*
Last Event Attended by your church at Hartland (within past 12 months) OR a visit/invitation from our Exec. Director (no date needed).
*
Your Official Church Title
*
Your Email
*
Your Phone #:
*
Church Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Church Office Phone #:
*
Church Website
*
If you have a statement of faith/what we believe page, please link that, otherwise your full website works as well.
What is the purpose of your stay?
*
Prayer/fasting, time away to recharge, a time to be away free from distractions with my family, etc. What do you hope to accomplish during your time with us?
I am interested in:
*
Coming up for the Day Only
Spending 1-2 nights alone
Spending 1-2 nights with my wife/kiddos
date the dates
Please list the names and ages of all potential attendees:
*
What time of year works best, you may also include specific dates if you had something in mind.
*
While not all dates may be available, knowing the time of year and/or days of the week that can work for you will allow our team to research and provide possible dates for your stay.
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