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.)
Email address
First Name of Clergy
e.g. Fr. Matthias or Dn. Emmanuel
Your answer
Last Name of Clergy
e.g. Anastasiou
Your answer
Parish Name, City & State
St. Titus, Chokoloskee, FL
Your answer
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.)
Your answer
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.
I prefer...
Preferred Roomate
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.
Your answer
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.)
Your answer
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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