Anglican Province of America - Retreat Registration

CLERGY RETREAT REGISTRATION

The Retreat Registration fee is $30.00 to help cover the three meals provided at the Glebe. Breakfast is included at hotel (Hampton Inn Gloucester).

This is for your registration ONLY.
Hotel reservations need to be completed by calling Hampton Inn Gloucester @ 804-693-9393 and ask for "APA Clergy Retreat" Group Rate.

Title

First Name

Last Name

Suffix (If none, then skip)

Email

Phone Number

Church Name

Church City

Church State

ROOMMATE

***Each Attendee Must Register Separately***

Will you have a roommate?

Yes

No

If yes, please list your roommate's name below:

Roommate's Name

This is for your registration ONLY.
Hotel reservations need to be completed by calling Hampton Inn Gloucester @ 804-693-9393 and ask for "APA Clergy Retreat" Group Rate.