Anglican Province of America - Retreat Registration

CLERGY RETREAT REGISTRATION

The Retreat Registration fee is $30.00 to help cover the three meals: Tuesday and Wednesday night dinners, and Wednesday lunch. A full breakfast is included at the hotel.

***This is for your registration ONLY.***
Hotel reservation info is on the APA Clergy Retreat page HERE.

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

BBQ DINNER OPTIONS

Choose One Meat

Choose 1st Side

Choose 2nd Side

Choose One Desert

Included: Fountain drink (unlimited). One ticket for a drink at the bar.

Box Lunch Selection (all with chips and cookie)

Choose Sandwich or Veggie Wrap

Already Pay The $30 Registration Fee?

Yes/No

If NO, click HERE!