Registration Form
2015 SBC 21 Prayer Retreat
*Accepting payments via cash, money order, check, or
credit card.*
Remit Registration & Check Payable To:
East Ohio Conference - FUND #9642
PO BOX 76019; Cleveland, OH 44101-4755
Amount Enclosed $
Prayer
RETREAT
OR to pay by credit card, complete this entire
form and fax or email it to:
Shawndelle Chester
Fax: 330-499-8336
email: [email protected]
Cardholder Name
Card Billing Address
Zip Code
Workshops
Praise and Prayer Service
Reflection Time
Holy Communion
Card Number
Prayer
RETREAT
May 2 2 - 2 3, 2015
Expiration Date Signature
Registration Time: 5 pm - 6 pm
Check-in: May 22, 5 pm
Checkout: May 23, 5 pm
Total Amount Authorized $
Cost $80 per person
Meals Provided
PLEASE COMPLETE
REGISTRATION DETAILS ON
BOTH SIDES BEFORE RETURNING
Pg 2 of 2
Prayer
RETREAT
May 22 - 23, 2015
Registration Deadline May 8, 2015
EAST OHIO CONFERENCE RACIAL-ETHNIC MINISTRIES
8800 Cleveland Ave, NW | North Canton, OH 44720
800.831.3972 | Ext 132
[email protected]
Retreat Location:
Loyola Retreat House
700 Killinger Rd. | Clinton, OH 44216
Details
Prayer
RETREAT
The East Ohio Strengthening the Black Church for
the 21st Century (SBC 21) Implementation Team
invites you to its Prayer Retreat to be held
May 22-23, 2015 at Loyola Retreat House
in Clinton (Canal District).
Retreat Focus
This overnight retreat has been designed
to be experiential, offering attendees the
opportunity to learn and participate in
multiple prayer models.
Workshops
Praying Jesus’ Name • Dreams and Visions
Prayer and Fasting • Soaking Prayer
Presenters
Worship Leader:
REGISTER VIA MAIL
The cost for the retreat, workshops, room and meals
is only $80/person. This fee is non-refundable so
please plan and register accordingly.
Fill out this two-sided form and remit along with
payment to:
You may register online or via U.S. mail.
ALL registrations must be received in the
conference office by 2 pm on Friday, May 8.
There will be no walk-in registrations at this event.
Loyola is also offering an Optional Personal
Retreat on Saturday night with dinner and brunch
included. (No Programming Planned). The cost is $60
in addition to your registered cost.
ROOM ASSIGNMENTS
The 21 single rooms and 16 double rooms will be
assigned on a first come, first served basis.
Once single rooms have been assigned, remaining
participants will be assigned a roommate.
If you have a roommate preference, please list that
person’s name on your registration.
MEALS PROVIDED
Fri. May 22 – Dinner @ 6 pm
Sat. May 23 – Breakfast & Lunch
Rev. Marilyn Coney
Pastor of Smith Corners UMC, Austintown, OH
Rev. James Roberson
Pastor of Cory UMC, Cleveland, OH
East Ohio Conference - FUND #9642
PO BOX 76019; Cleveland, OH 44101-4755
Name (Please Circle Title)
(Mr/Mrs/Ms/Rev/Dr)
Church
Address
City Zip
Telephone
Email
Please add $60 to my registration cost for the
Optional Personal Retreat on Saturday night
with dinner and brunch included. (No Programming
Planned).
Preferred Roommate Name
All rooms are assigned on a first come, first
served basis.
Presenters include:
Rev. Wilma Roberson
Pastor of Nottingham UMC, Cleveland, OH
REGISTER ONLINE
http://tinyurl.com/SBC21Retreat15
REGISTRATION
Mrs. Tosha Campbell
Akron Centenary UMC, Akron, OH
Rev. Patricia Foote
Pastor of The Father’s House, Cleveland Hts, OH
Registration Form
FOR MORE INFORMATION
Shawndelle Chester
800.831.3972 Ext. 132
[email protected]
If you wish to automatically be considered for a
double room with a roommate, please check
this box and list your roommate above. Beds
are twin-sized. If you wish to room with your
spouse, please choose a double room.
If you would like to request an alternate meal,
please choose from one of the following options:
Gluten-free
Vegan
Vegetarian
Pg 1 of 2