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Panther Awakening 5 Retreatant Application
Panther Awakening 5 is scheduled for September 13th-15th GET EXCITED!!!!
Name *
Your answer
EIU Email *
Your answer
Gender *
Phone Number *
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Grade Classification
Emergency Contact *
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Emergency Contact Phone Number *
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Emergency Contact Email *
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T-Shirt Size *
What is your favorite color? *
Your answer
What is your favorite snack? *
Your answer
What is your favorite Bible verse? *
Your answer
What is your favorite Saint? *
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Will you need a sleeping bag? *
Do you have any dietary restrictions? *
(Gluten-Free, Lactose intolerance, Vegetarian, Vegan and etc.)
Your answer
The cost of the retreat is $40. $20 non-refundable. Scholarships are available, Talk to Grant Manning, Dustin McMillan, or visit the Newman Office for more information. Please answer if you are paying with cash, card, check, or need a scholarship. *
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If paying with Card please click on the link below to pay through the EIU Newman website. Choose "Support our ministry" and under "Add special instruction" state that this payment is for Panther Awakening.
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