FJV Retreat Registration Form
Friday February 10- Sunday February 12, 2023 | Lebanon, PA
Sign in to Google to save your progress. Learn more
Basic Info
Your Name
JV City & Year(s)
Phone Number
Email
Current city/area of residence 
Are you interested in being connected with others in your area to carpool to retreat?
Clear selection
Personal Preferences
Do you have any dietary restrictions we can accommodate?
Do you have any allergies or medical concerns we can accommodate?
Which topics would be most engaging to you on this retreat? Please choose 2.
Would you like to be included in a weekly pre-retreat email? This will be delivered only for the month leading up to retreat. Like a newsletter, it will contain reflection prompts, articles worth reading, and other treats to enjoy in the leadup to FJV Retreat 2023. 
Clear selection
Is there anything else you would like us to know or think about?
Payment
The full cost of this retreat is $130 and covers lodging for 2 nights plus meals (Saturday BLD, Sunday BL). Full payment is due to Cait O'Donnell one month before retreat, on 1/10/2023. Cait will reach out to you individually to coordinate payment after the registration period closes. 
How would you like to pay for retreat?
Clear selection
Financial assistance is available to new FJVs, current students, and those who just really need it. Are you interested in applying for financial assistance? 
Clear selection
If yes, how much financial assistance would you like to request?
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
Google Forms