Central Michigan Koinonia 13 Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The retreat is held from Friday, March 24 @ 4:00pm through Sunday, March 26 @ 4:30pm. Reservations are limited to 25 people. Total cost is $35.00 per person. Please see St. Mary's office or email cmkteam@gmail.com if you are unable to make this donation. No one is ever turned away from Koinonia because of inability to pay! We have scholarships! Checks should be payable to "St. Mary University Parish".

Full Name

College/University

Year in School

Major

Email Address

Phone Number

Local Address

Date of Birth

YYYY

Religion

Gender

Do you have any special needs? (Diet (allergies), handicap facilities, etc)

May we share your contact information with your fellow participants to keep in touch after the retreat?

Yes

Clear selection

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms