Lay Ecclesial Minister Retreat 2024

First Name

Last Name

Email

Phone Number

Place of Employment and Location

Position Title

Emergency Contact Name and Number

Any allergies/dietary restrictions?

How would you like to pay for this retreat?

	Pay Online you will be directed to a payment page once you submit this form
	Mail in check for $75 Please write "Retreat" in the memo line, and mail to Saint John's School of Theology, attn: Kelley Deshler, PO Box 7288, Collegeville, MN 56321
	I am requesting a scholarship of $75

Will you need on-campus housing for the retreat?

Rooms are provided as part of the cost Tuesday, Wednesday, and Thursday evening. The retreat will begin at 930am Wednesday morning.

	Yes, I would like on campus housing for the retreat, beginning on Wednesday.
	Yes, I would like on campus housing AND am interested in coming early and staying Tuesday night night
	No, I will be commuting each day to the retreat

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	Retreat Fee	$75.00

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