College Discipleship Retreat Registration
Nov 15-17, 2019 at Blue Ridge Assembly, Black Mountain, NC. $50 registration fee payable to your campus minister. Registration deadline is Nov 1.
Email address *
Last Name *
Your answer
First Name *
Your answer
School *
Your answer
Cell Phone # *
Your answer
M/F *
List any dietary restrictions.
Your answer
T-Shirt Size *
Are you interested in singing or otherwise helping to provide music for our Mass?
Are you able to drive other students from your school?
If "yes" how many students can you take?
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
I agree to pay my campus minister a $50 registration fee. *
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