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Just Be Held Ministries
Nancy Squires
2025 September : Participants
Sep 5, 2025 to Sep 7, 2025
Woodlands Camp Lodge Cleveland, Georgia
<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="September 2025 Retreat Registration&nbsp;"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp; &nbsp;"/> <field type="paragraph" subtype="p" label="Need more information about the retreat?&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;"/> <field type="paragraph" subtype="p" label="Go to https://justbeheldministries.org/retreat"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;"/> <field type="paragraph" subtype="p" label="When: September 5 - 7,&nbsp; 2025"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp;"/> <field type="paragraph" subtype="p" label="Check-in : Friday from 3pm to 5pm.&nbsp;"/> <field type="paragraph" subtype="p" label="First session : Friday at 5pm.&nbsp;&nbsp;"/> <field type="paragraph" subtype="p" label="Last Session : Ends on Sunday at 2pm&nbsp;"/> <field type="paragraph" subtype="p" label="Check-out: Sunday at 2:30pm&nbsp;"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp;&nbsp;"/> <field type="paragraph" subtype="p" label="All-Inclusive Price: $699"/> <field type="paragraph" subtype="p" label="Includes: Lodging, Meals (6), Snacks and Drinks, Materials and Special Touches"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp;"/> <field type="paragraph" subtype="p" label="Payment Options Available at Time of Registration:&nbsp;"/> <field type="paragraph" subtype="p" label="Full Payment&nbsp; or"/> <field type="paragraph" subtype="p" label="Deposit of $350 with final payment of $349 due by August 8, 2024."/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;"/> <field type="paragraph" subtype="p" label="When you finish submitting the registration form, you will receive a confirmation. A link to&nbsp; the payment page will be sent to you via email in a few days. Once you make payment, you will receive a confirmation and an email confirming your payment.&nbsp;"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp;&nbsp;"/> <field type="paragraph" subtype="p" label="Registration is holding you a place until the payment link is sent to you and paid.&nbsp;"/> <field type="paragraph" subtype="p" label="You are NOT completely registered until you make a payment on the payment page.&nbsp;"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;"/> <field type="paragraph" subtype="p" label="Retreat is limited to 24 participants.&nbsp;"/> <field type="paragraph" subtype="p" label="****************************************************************************************************"/> <field type="text" required="true" label="First name&nbsp; (Preferred)&nbsp;" description="What is your preferred name" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Email address" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Emergency Contact and Phone Number" placeholder="(e.g. Wilbur Wright - 202.123.4567)" name="emergency-contact-and-phone-number" subtype="text" className="form-control"/> <field type="header" subtype="h3" label="Address"/> <field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/> <field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="header" subtype="h3" label="Learning About Just Be Held Retreats"/> <field type="textarea" required="true" label="How did you hear about Just Be Held retreats?&nbsp; We would love to say thank you to them.&nbsp;" name="how-did-you-hear-about-just-be-held-retreats-we-would-love-to-say-thank-you-to-them-" className="form-control"/> <field type="textarea" required="true" label="Why do you need this retreat? What is your story bringing you to the retreat?" description="Please share why you think you need to attend this retreat" placeholder="Share a brief summary of your qualifying story" name="retreat-qualification-why-are-you-coming" rows="0" className="form-control"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp;&nbsp;"/> <field type="header" subtype="h3" label="Information Needed So We Can Serve You Well"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;"/> <field type="header" subtype="h3" label="Health"/> <field type="text" label="Please list any health conditions of which we need to be aware" name="please-list-any-health-conditions-of-which-we-need-to-be-aware" subtype="text" className="form-control"/> <field type="text" required="true" label="Please list any food allergies" name="please-list-any-food-allergies" subtype="text" className="form-control"/> <field type="header" subtype="h3" label="Roommates"/> <field type="paragraph" subtype="p" label="Double occupancy is included in the price of the retreat. If you would like to have a single room, there is an option to choose that on the payment page. Single occupancy will be an additional $250 charge.&nbsp;"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;"/> <field type="paragraph" subtype="p" label="If no roommate is listed below, JBH leadership will assign you a roommate.&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;"/> <field type="checkbox-group" required="true" label="Help us make roommate assignments by checking the following:" description="choose all that apply" name="help-us-make-roommate-assignments-by-checking-the-following-" other="true"> <option label="Prefer Cool Room " value="prefer-cool-room-">Prefer Cool Room </option> <option label="Prefer Warm Room " value="prefer-warm-room-">Prefer Warm Room </option> <option label="Night Owl " value="night-owl-">Night Owl </option> <option label="Early Bird " value="early-bird-">Early Bird </option> <option label="Snores" value="snores">Snores</option> </field> <field type="text" label="Roommate Request&nbsp;" description="If you have someone you would like to be your roommate please list their name here. Have them list your name on their registration." name="roommate-request" subtype="text" className="form-control"/> <field type="header" subtype="h3" label="Small Group Assignments"/> <field type="paragraph" subtype="p" label="JBH leadership will assign you to a small group. To be able to best serve you, we need you to answer a few questions."/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;"/> <field type="checkbox-group" required="true" label="Demographics" description="Choose all that apply" name="help-us-make-small-group-assignments-by-checking-the-following" other="true"> <option label="Never Married" value="never-married">Never Married</option> <option label="Married" value="married">Married</option> <option label="Divorced" value="divorced">Divorced</option> <option label="Divorced & Remarried" value="divorced-remarried">Divorced & Remarried</option> <option label="Widow" value="widow">Widow</option> <option label="No children" value="no-children">No children</option> <option label="Children still in home (under 21)" value="children-still-in-home-under-21">Children still in home (under 21)</option> <option label="Adult children moved back home" value="adult-children-moved-back-home">Adult children moved back home</option> <option label="Empty Nester" value="empty-nester">Empty Nester</option> <option label="Christian Faith" value="christian-faith">Christian Faith</option> <option label="Uncertain in Faith" value="uncertain-in-faith">Uncertain in Faith</option> </field> <field type="header" subtype="h3" label="Transportation&nbsp;"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp;&nbsp;"/> <field type="paragraph" subtype="p" label="Driving to the retreat?&nbsp;"/> <field type="paragraph" subtype="p" label="Address:&nbsp;"/> <field type="paragraph" subtype="p" label="Woodlands Camp "/> <field type="paragraph" subtype="p" label="1242 Old Blue Creek Road."/> <field type="paragraph" subtype="p" label="Cleveland, GA 30528"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;"/> <field type="paragraph" subtype="p" label="Flying to Georgia for the retreat?&nbsp;"/> <field type="paragraph" subtype="p" label="Closet Airport : Hartsfield - Jackson Atlanta Airport (ATL)"/> <field type="paragraph" subtype="p" label="Friday Shuttle Pickup Time is 1:00pm at the airport. More details will be conveyed prior to the retreat. Sunday the shuttle will try to have you at the airport by 4:30pm.&nbsp; WE ADVISE YOU DO NOT SCHEDULE YOUR FLIGHT HOME BEFORE 6:30PM.&nbsp;"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="Just Be Held retreats will arrange for roundtrip transportation from the airport to the retreat.&nbsp; Details for this service will be communicated privately with those needing a shuttle.&nbsp;"/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;"/> <field type="radio-group" required="true" label="Do you need the roundtrip shuttle from the airport to the retreat?&nbsp;" name="do-you-need-help-with-transportation-to-the-retreat-"> <option label="yes" value="yes">yes</option> <option label="no" value="no">no</option> </field> <field type="paragraph" subtype="p" label="&nbsp; &nbsp; &nbsp;"/> <field type="paragraph" subtype="p" label="If you would like to have your flights scheduled for you, please contact flights@travelmation.net.&nbsp;"/> <field type="paragraph" subtype="p" label="Tell them you would like to book flights for the Just Be Held retreat. They will reach back out to you with more information."/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;"/> <field type="paragraph" subtype="p" label="**************************************************************************************************&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;"/> <field type="paragraph" subtype="p" label="Please submit this form and you will be directed to a confirmation page.&nbsp; &nbsp;A link to the payment page will be sent to you via email in a few days. Once you make payment, you will receive a confirmation and an email confirming your payment.&nbsp;"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="For a spot to be held for you at the retreat, we MUST receive payment and the submission of the above information.&nbsp;"/> </fields> </form-template> </body> </html>
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