DU Emerging Leaders Retreat Registration Form

Thank you for your interest in the Dominican University Emerging Leader Retreat! Please complete the following form to register. Note: Your registration is not complete until you have paid the $50 registration fee. You can pay this online by following the link on the Emerging Leaders website (www.dom.edu/emergingleaders). If you prefer to pay by check, you can also see instructions for payment on the same website. Due to our contract with the campsite, cancellations and refunds will not be granted after August 22, 2012. If you have questions anytime or if you must cancel your registration before August 22, 2012 - please contact: Katie Kramer kkramer@dom.edu 708.524.6458
* Required

Emergency contact information.

Things we should know.

Never submit passwords through Google Forms.