GUEST RESERVATION
KAIROS OUTSIDE WEEKEND

The Kairos Outside Weekend is a no-cost, Christian retreat for women who now have (or have had) relatives and/or friends in prisons, jails, youth facilities, etc., or who have been incarcerated themselves. These women are shown Christ’s love and treated as Guests of Kairos Outside. Guests must be at least 20 years old. Weekends are held usually twice per year and last from Friday evening until Sunday afternoon.

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* Name

Age

Birthdate

* Address

* Email

Other Email

Home Phone

Cell Phone

Work Phone

Best Time to Call

Best Phone to Call

Home Cell Work

Diet

Medical

Transportation

Other

Incarcerated Family Member

Relationship

DOC ID#

Facility

Address

Refered by

Comments / Notes

Special Needs

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City, State
Zip

City, State
Zip

Required

Required

Required

* 1 Phone Number Required

Privacy Notice:
Your information is confidential. It will not be shared with anyone outside of Kairos Outside

Please allow a few days for a reply. Thanks

We have Kairos outside in Southwest Virginia, and Northern Virginia. Should you reside in one of these alternate areas & wish to attend in the area closer to you, please advise in this comments section.
Otherwise, you will be contacted only by Kairos Outside Central Virginia.

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