SHEPHERDS CARE MINISTRIES Registration Request Please submit this completed form by clicking the SUBMIT button or mailing to: Shepherds Care Ministries Att: Bob Pycraft 1765 Pineknoll Dr. SE Kentwood, MI  49508

  Last Name: ________________________________________________________________________________________

First Name: ______________________________                  Wife’s Name: _____________________________________

Address: ___________________________________________________________________________________________

City: _______________________________________________________________________________________________

State: __________________            Zip Code: ___________          Phone: ______________________________________

Church Name: ______________________________________________________________________________________

____Sr. Pastor     ____Missionary     ____Associate Pastor     ____Youth or Worship Pastor     ____Widow 

We would like to attend:  ____June 22-26, 2026 ____October 5-9, 2026

Your tee shirt size: ____S    ____M    ____L    ____XL    ____XXL     ____XXXL

Your wife’s tee shirt size:   ____S    ____M    ____L    ____XXL    

Please tell us:

How did you hear about Shepherds Care Ministries?

____________________________________________________________________________________________________

Any prayer request you would like us to be praying about in advance?

____________________________________________________________________________________________________

PLEASE NOTE:

Our retreats run Monday beginning with registration at 3:00 pm and conclude Friday morning following breakfast.  It helps us if you will plan to stay for the full retreat.  Emergency circumstances or extenuating circumstances are understood.  Breakfast and supper meals throughout the week are provided by Shepherds Care Ministries.

We are unable to accommodate children or pets. 

These retreats are designed primarily for a pastor and his wife or missionary couple. 

Single male pastors may attend.