Spiritual Formation Retreat Registration

First name

Last name

Student ID #

Campus box # or address (for off-campus students)

Your local church

Email

Contact Number

Gender

Male

Female

Classification

Birthdate

Emergency Contact (Name, Relationship, Contact Number)

Allergies, medications, diet restrictions, health concerns

Upload a digital photo of yourself

Your deposit of $30 is due within 3 business days of your registration or your spot on the retreat may be forfeited.
Please make checks or money orders payable to Trevecca Nazarene University.
Cash will be accepted in a sealed envelope marked with your name and "Spiritual Formation Retreat."
TNU students will need to submit their deposit to Dorothee Morris, Sherry Crutchfield or Brent Tallman in the Department of Religion.
Non-TNU students will need to submit their deposit to their College Pastor using the same methods and deadline.
Unfortunately spots are limited, so we cannot guarantee your registration. Registrations will be accepted on a "first come first serve basis", you will be notified as to whether you made the cutoff or not. Your deposit will be returned to you, should you not make the cutoff and you will be added to the "Alternate" list. At that point you will be notified should a spot become available.
You will be contacted about attending a MANDATORY pre-retreat orientation.
Your final payment of $30 ($60 total) will be due by February 3, using the same methods as above.

February 10-12, 2012