Fall Clergy Retreat Response Form
Tuesday, October 10, 2017 - Thursday, October 12, 2017 - Let us know your plans to attend.
(Make plans now to arrive by 4:00 p.m. on Tuesday, 10/10. His Eminence asks that you not depart earlier than 2:00 p.m. on Thursday, 10/12, so you can participate in the Thyranoixia (Blessing of the Opening of the Doors) of the lower level Chapel/Library/Symposium Room of our Panagia Chapel.)
First Name of Clergy
e.g. Fr. Matthias or Dn. Emmanuel
Last Name of Clergy
Parish Name, City & State
St. Titus, Chokoloskee, FL
I plan to participate
If you are not coming, complete this section to request His Eminence to excuse you. Also, if you know you are not coming, please do not register that you are and then not come... no shows result in extra food and supplies ordered and rooms reserved that could be used for others.
(Submit your extenuating need(s) in the following space (not in a separate email). Our Chancellor will notify you of His Eminence's decision regarding your exemption request.)
Rooming Preference: There is no registration fee for this meeting... this expense has been covered through a generous grant from Diakonia Deca. It includes lodging (with linens) and all meals. Requests for single rooms are on a first-come first-served basis, after which doubles will be assigned.
Single Room [Be sure to designate a roommate in the next question in case no singles are available.]
Double Room [List your preferred roommate in the next question.]
Not applicable [I am not coming.]
Even if you request a single room, please provide a name in case the DRC needs to assign you to a double room. If you are not coming, simply write in "not coming" as your response.
Complete Your Online Registration
HIT THE BLUE "Submit" button to ensure your registration is received. (Enter any questions you may have before hitting "Submit" button.)
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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