Approach Retreat--November 9-11

Hurry…the deadline to sign up is Thursday, October 18th and slots typically fill up quickly

After submission of the information below, please remit payment of $50 via CASHNet, our secure payment gatewayYour registration is not complete until your payment has been submitted. If there are any questions, please contact Tim Dunn.

Full Name *

Cell Phone Number *

First 9 digits of your student ID, which are followed by 15049

Where do you live? *

Local Address *

Parent Address *

Parent Phone Number *

Please select one of the following categories that best describes the religion in which you most closely affiliate. This question is for demographic purposes only and will not be public.

This question is for demographic purposes only and will not be public.

Previous retreat experiences? *

Dietary concerns/Allergies *

Any physical restrictions? *

How did you hear about the retreat? *

check all that apply

Payment is $50. Do you need financial assistance? *