Request Invitation

All our guests come by invitation only. If you would like to be invited, please fill out and submit the following request form.


Please complete this form to request an invitation to Shepherd's Rest.
First Name:
Spouse's Name:
Last Name:
Address:
City:
State:
Zip Code:
Day Phone:
Evening Phone:
Email Address:
Church:
Address:
City:
State:
Zip Code:
Church Phone:
Church Affiliation:
Approximate size of church?:*optional
Date being requested:
Your desires or expectations for this retreat time: *optional
Comments: *optional