Intercessory and Prophetic Retreat

Retreat Registration

Personal Information

Full Name: *

Gender: *
MaleFemale

Date of Birth: *

Phone Number: *

Email Address: *

Home Address: *

City: *

State: *

Zip Code: *

Emergency Contact Name: *

Emergency Contact Phone: *

Relationship: *

Accommodation Information

Accommodation & Access

Spaces at our retreat center are limited and fill quickly! Registration is processed first-come, first-served. Once our rooms are fully booked, participants will need to arrange their own lodging nearby. All attendees staying off-site must purchase a day pass to participate in retreat activities.

Preferred Accommodation: *
Retreat CenterHotel (if retreat center is full)No Preference

Medical Information

Do you have any medical conditions we should be aware of? *
YesNo

If yes, please explain:

Hotel Details

A group reservation has been made at the Holiday Inn Express & Suites Allentown West, PA from July 1st to July 4th, 2026.

The average daily rate per night is $176.00 for 3 nights.
Please note: a $30 per day fee is required to be on the retreat grounds.

To make reservations, please use the link below or call 1-800-Holiday, or the front desk at 610-530-5545.
The block booking code is MIN for reference should you call in.
Reservations must be made no later than June 15th to guarantee the group rate.

Cancellation Policy
The cancellation policy is 48 hours before check-in. Simply call the hotel by 3:00 PM two days prior to arrival with no penalty to cancel.
Additional cancellation policy details can be found on the hotel website and on your reservation agreement.

Intercessory and Prophetic Retreat

Retreat Registration

Personal Information

Accommodation Information

Accommodation & Access

Medical Information

Hotel Details

Four Person Occupancy

$280

Per Person

Three Person Occupancy

$320

Per Person

Day Pass

$30

Per Person

Equipping for
Dominion

Address

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