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Thank You — Retreat Registration
Johannesburg · August 2026
Deliverance &
Restoration
Retreat
21st – 23rd August 2026
Heron Bridge
Guided · Confidential · Spirit-led
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Personal Information
Please fill in your details below
Full Name
*
Gender
*
--- Select Choice ---
Male
Female
Email
*
Phone
*
Emergency Contact
In case of emergency during the retreat
Emergency Contact Full Name
*
Relationship
*
Emergency Contact Number
*
Accommodation Special Contact
Accommodation
Select your preferred room type
Room Type
Single Room
Shared Room
No Accommodation
Roommate Name(s) if applicable
Payment Method
Select how you will be making payment
Payment Method
*
Bank Transfer
Zeffy
Zelle
PayPal
Payment Details
Bank Transfer Details
Bank:
Your Bank Name
Account Name:
Hope & Deliverance Ministries
Account Number:
XXXXXXXXXX
Branch Code:
XXXXXX
Please use your full name as payment reference.
General Information
Special Dietary Needs
*
--- Select Choice ---
No special requirements
Vegetarian
Other
T-Shirt Size
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XL
XXL
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