Registration – East Africa Singles Retreat

ICOC East Africa Singles Retreat Registration Form

Personal Information

Full Name *

Phone *

Gender *

Email Address *

Date of Birth (For age verification) *

City

If Nairobi, Bloc?

Country of residence

Event History

Have you attended any previous ICOC events? If yes, please specifyYesNo

Health $ Safety

Dietary Restrictions/Allergies

Emergency Contact Name and Number

Event Preferences

Are you interested in participating in any volunteer activities during the retreat?YesNo

Do you require accommodation before or after the retreat? Give more details on your extended stays.

Accommodation Preferences

Preferred Accommodation OptionRICEM Hostels ($150, double sharing)Kigali View Hotel ($210, double sharing)Kigali View Hotel Single Occupancy ($240)RICEM Hotel Conference Only ($90)

Room-sharing preferences, if applicable

Retreat Program Suggestions

Are there specific topics or activities you would like to see included in the retreat program?

Additional Comments/Requests:

Do you have any additional comments or special requests?

Payment Information

Kindly note you can pay to your Country Retreat finance treasurer for collective collection and exchange or you can pay directly to the host church through the below account details:

- Please make a payment in USD to the provided USD account:

Bank: Equity Bank Rwanda
Acc Name: Florence Tuyishime
Acc No. 4022212716760
Swift:- EQBLRWRWXXX

Bank Address
Grand Pension Plaza Buidling
Avenue De La Paix
P.O Box 494
Kigali, Rwanda

- Email your payment confirmation to: rwandachristianchurch@gmail.com and cc your church retreat coordinator