2007 RETREAT REGISTRATION FORM

Please use one form for each person attending

 

Name (one person only) _________________________________________

Class of ______ Email ____________________ Phone ________________

(Please check and circle applicable selection)

__I will be attending the entire retreat

$135 (if dues paid) __$145 (if dues not paid) __

__I will be a commuter from local motel or home - attending two or more days but will not need a room.

$76 (if dues paid) __$86 (if dues not paid) __

__I will be attending one day and do not need a room

$40 (if dues paid) __$50 (if dues not paid) __

 __I will be attending one day and need a room for one night.*

$65 (if dues paid) __$75 (if dues not paid) __

*Please circle the night you will be staying:    Friday     Saturday

NOTE: If you do not plan on taking all meals at Stella Maris, please circle those you expect to be at:

Friday Dinner – Saturday Breakfast – Saturday Lunch – Saturday Dinner – Sunday Breakfast

Please make check payable to SSDCA and mail with this form to:

SSDCA Retreat

c/o Registrar

St. Bernard’s School of Theology and Ministry

120 French Rd.

Rochester, NY 14618

Questions, contact John or Carole at: (315) 253-3542 or tomandlj@ssdca.org

Registration deadline October 19, 2007

I would like to help with:

registration __music___ liturgy ___hospitality___ anything I can do__

I have special needs or dietary concerns: _______________________________