If you would like to mail in your payment,  please click HERE to download the Registration Form.

RETREAT NAME:_____________________________________________________________

DATE:_____________________________________________________________________

DEPOSIT:__________________________________________________________________


NAME: ___________________________________________________________________

NUMBER OF PERSONS: ______________ MALE/FEMALE: _______________

ADDRESS: ________________________________________________________________ 

CITY: ________________________ STATE: ____________ ZIPCODE: _______________

HOME PHONE:______________________________

CELL PHONE:_______________________________

E-MAIL:____________________________________________________________

Comments: (be sure to include any special needs): ________________________________________________________________________

__________________________________________________________________________

Registration for Scheduled Retreats cannot be reserved until we receive this 
registration form and a $100 deposit per person.  

Make checks payable to, "Little Portion Retreat & Training Center".

Mail payment and registration form to:

Little Portion Retreat & Training Center
Attn: Peggy Lodewkys, BSCD
171 Hummingbird Lane
Eureka Springs, AR 72632

or call to use your credit card for your deposit (479) 253-7379

Click here to make your reservation at our online store