Awakening 2017 Registration Form
Greetings!

You are invited to spend November 17-19th, 2017 on the Catholic Student Center’s Fall Awakening retreat – a weekend for students and young adults to renew or deepen their relationship with God, themselves, and others.

Timeline:
Begins: 3:30pm Friday November 17th
Ends: 5pm Sunday November 19th

Location: Todd Hall Retreat Center in Columbia, IL

Cost:
Wash U Students: $15 (subsidized by Wash U)
STLCOP: $50 (cost partially reimbursed by STLCOP)
All other students: $50
Non-students: $100
*Financial assistance is available to those who need it. If the cost of the retreat will keep you from attending, please contact Troy Woytek (woytek@washucsc.org). We never want money to stand in the way of a student attending, so please do not hesitate to ask for financial assistance if you need it.

Please fill out the registration form here by Sunday, November 12, 2017. All applications received after Thursday, November 9th must be submitted with payment. If you need to cancel your reserved spot, full refunds can only be given until Thursday, November 9th.

As soon as you submit payment, the retreat staff will begin working on materials that are specific to you for the retreat, so please take submitting this form as a serious commitment to attending the Awakening retreat Nov. 17-19th and pay as soon as possible after submission.

If you have any questions, please contact us using any of these three options:
Sarah Dyott's cell: 203-733-7621
Jay Schroeder's cell: 402-630-2449
Our joint retreat email account: awakeningcoordinators2017@gmail.com.

Peace and love,

Sarah Dyott and Jay Schroeder
2017 Awakening Coordinators

First Name
Your answer
Last Name
Your answer
Email
Your answer
Phone Number
Your answer
What school are you a part of?
Year in School
What is your St. Louis address?
Your answer
Which dorm do you live in, and what is your room number?
WashU Only
Your answer
When is your birthday?
If you're celebrating a birthday during the retreat, it will be extra fun! :)
Your answer
What are your parent(s)/guardian(s) names?
This is for emergency contact purposes and such.
Your answer
What are the best phone number(s) to reach your parent(s)/guardian(s)?
Your answer
What is the best email where your parent/guardian can be reached?
Your answer
Do you have any dietary needs or restrictions?
Your answer
What are you most excited for about coming on Awakening?
Your answer
What is something you are nervous about/ struggling with in coming on Awakening?
Your answer
We ask you to pay a fee for the retreat (see pricing above). Which way would you like to pay?
Your space is not reserved on the retreat until we have received your payment. We will send you email confirmation when your payment has been received.
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