Seekers Retreat 2018 Registration Form
Seekers Retreat is the perfect place for those who want to find out more about who Jesus is. For a weekend, it is a safe environment to ask the tough questions about Christianity and what it means to follow Jesus. You’ll be seeking these answers alongside others just like you who are wanting to simply check out what Christianity is all about.

When: March 2 - 4
Leave UCLA by 3:00pm on Friday (meet at De Neve TA)
Return to campus by 1:30pm on Sunday

Cost: $40 for guests/$50 for hosts (scholarships are available; fill out form)
Transportation, food, and housing are included in the cost of registration.

Location: Calvary Hill Retreat Center, 37400 Falling Springs Rd, Yucaipa, CA 92399

DEADLINE TO REGISTER IS FRIDAY, FEBRUARY 23RD.
DEADLINE TO PAY IS MONDAY, FEBRUARY 26th.

Name (First and Last, e.g: "Joe Bruin") *
Your answer
Phone Number *
Your answer
Dorm/Apt and Room # *
Your answer
Email *
Your answer
Gender *
Are you a host or a guest? *
Emergency Contact Name *
Your answer
Emergency Contact Relationship *
Your answer
Emergency Contact Phone Number *
Your answer
Insurance Provider *
Your answer
Insurance Policy Number *
Your answer
Name on Policy Card *
Your answer
Food allergies or restrictions? *
Your answer
Payment Method (due 2/26) *
Can you give a ride to the center? *
If yes, how many spots?
Your answer
Submit
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