Cedar Springs 2021 Registration Form

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone *

(###)

###

####

Have you previously attended a PCM School? *

Yes

No

Have you previously attended an MPC School? *

Yes

No

Gender *

Female

Male

Please indicate any of the following books written by Leanne Payne you have read or plan to read prior to this school: *

**Lecturers assume that you will have read these two books.

Healing Presence**

Restoring the Christian Soul**

Crisis in Masculinity

Listening Prayer

The Broken Image

Real Presence

Are you presently, or have you ever, engaged in occult practices? Exposure to occult influences will vary across cultures; some examples include astrology, new age, freemasonry, witchcraft, ancestor worship, or divination. *

Yes

No

Reference Name *

First Name

Last Name

Reference Phone Number *

(###)

###

####

Please copy and paste the following letter into the body of an email and send it to your reference. You may modify the letter, but please ensure the link to the reference is unchanged. *

I am writing to ask if you would consider providing a reference for me. I am planning to attend a Ministries of Pastoral Care School at Cedar Springs Christian Retreat Center in Sumas, WA July 25 - 30, 2021. MPC asks that my reference be a Christian pastor or mentor who knows me well and can offer input on how attending an MPC school will serve God’s purposes in my life. A reference is required to complete my registration for the school. The reference form is entirely online. Please click on this link http://tiny.cc/9kwutz to access the reference form. If you would like to learn more about MPC, please feel free to ask me or to go to MPC’s website www.ministriesofpastoralcare.com.

I have emailed this link to my reference

Registration Fee

Standard Registration (before May 24, 2021) $850

Late Registration ((May 25-July 4, 2021) $950

I would like to take the round-trip bus between SeaTac International Airport and Cedar Springs Christian Retreat Center.

Please send me more information regarding this additional service.

I have special dietary needs. Please communicate the following to Cedar Springs:

I prefer gluten free options.

I prefer dairy free options.

I prefer vegetarian options.

I prefer vegan options.

I would like to extend my stay at Cedar Springs.

Extended stays provide one or two additional nights at Cedar Springs immediately following the school, including three consecutive meals. Checkout at 2pm the following day. Payment for this stay will be included in your final payment of school fees. Please choose from the following:

One additional night incl. dinner, breakfast, and lunch ($100 per person)

Two additional nights, including dinner, breakfast, and lunch. ($200 per person)