Grounding Retreat Registration
Welcome! We are excited you will be joining us for a weekend of contemplation, prayer, and conversation as we gather to seek God’s presence in the midst of a climate emergency and ask: “What is emerging?”

We are gathering at Loyola House (5420 Hwy 6N, Guelph, ON) from Friday evening, Nov.15 through Sunday early afternoon, Nov.17.

Please fill out the information below, and contact Peter Haresnape (peter@scmcanada.org) or Tamara Shantz (tamara@pastorsinexile.org) if you have further questions.
Email address *
Name: *
Your answer
Phone Number: *
Your answer
Your pronouns: *
The pronouns that you want others to use to refer to you during this retreat. For example he/him, they/them, she/her.
Your answer
Tell us a little about why you are interested in this retreat. What are your hopes and desires for the weekend? How did you hear about it?
Your answer
Emergency Contact (Name and Phone Number): *
Your answer
Any allergies or other health concerns that we should be aware of?
Your answer
Do you identify as a young adult? *
We are excited about an intergenerational retreat, so we are asking in order to help us balance generational representation!
Will you be 18 years or older by November 15? *
Next
Never submit passwords through Google Forms.
This form was created inside of Pastors in Exile. Report Abuse - Terms of Service