Panther Awakening 6 Retreatant Application
Panther Awakening 6 is scheduled for January 31-February 2, 2020! You will leave around 4 pm on Friday (1/31) and be back around 3:30 pm on Sunday (2/2). GET PUMPED! We can't wait to meet you & experience this amazing weekend together!
Name *
Your answer
Gender *
Year in School *
School email *
Your answer
Phone Number *
Your answer
EIU Emergency Contact Name
Your answer
EIU Emergency Contact Phone Number
Your answer
Parent/Guardian Emergency Contact Name *
Your answer
Parent/Guardian Emergency Contact Phone Number *
Your answer
Parent/Guardian Emergency Contact Email *
Your answer
T-Shirt Size *
What is your favorite color? *
Your answer
What is your favorite Bible verse? *
Your answer
Who is your favorite Saint? (Just put n/a if you don't have one) *
Your answer
Do you have any sort of dietary restrictions? (lactose intolerant, gluten-free, vegetarian, vegan, etc.) *
Your answer
The cost of the retreat is $40 to cover transportation, location, food, supplies, etc. We do have a select amount of $20 scholarships in order to help cover the cost if you have any financial concerns. Please talk to Amber Salutric, Kate Mushinsky or visit the Newman Office during buisness hours to discuss this, if needed. Please indicate which method of payment you will be using. *
If you selected to pay with credit/debit card, you can pay online! Go to www.eiunewman.org and select "Support our Ministry". At the end, under "special Instructions" write "Panther Awakening 6". If you are paying with cash or check, you can bring it to the Newman Center at anytime between 8 am and 5 pm Monday through Friday. Applications and money for the retreat are DUE on Tuesday, January 21st. Please reach out to Amber Salutric or Kate Mushinsky if this deadline will be an issue. Thanks! Feel free to add any questions or comments below.
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