Request edit access
Ball State Koinonia Retreat Registration
* Required
First Name
*
Your answer
Last Name
*
Your answer
Email
*
Your answer
Cell Phone
*
Your answer
Year in school
*
Freshman
Sophomore
Junior
Senior
Grad Student
Other:
Major
*
Your answer
Faith background
*
You do not need to be Catholic to attend this retreat, though talks, etc. will be given from a Catholic lens. All are welcome!
Catholic
Non-Catholic Christian
Other:
Emergency Contact Name
*
Your answer
Emergency Contact Phone
*
Your answer
Do you have any special needs? (diet restrictions, handicap facilities, etc.)
*
Your answer
May we please share your contact information (name, cell, email, major) with your fellow participants to keep in touch after the retreat?
*
Yes
No
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Additional Terms
Forms