Fall 2022 Retreat Registration

Retreatant Information

Fall Retreat 2023 | September 29-October 1
Paid amount?
Paid date and how?
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
School*
If other, where do you attend school?
Expected graduation year*
Ex: 2021
Where do you live?*
I am a...*

MaleFemale
Is this your first CSU Retreat?*

YesNo
NOTE: We will not receive your information until you click the yellow "Submit" button and (if paying through PayPal,) the payment is fully processed.
If you accidentally click an option you did not intend, the form may misbehave on the payment page. If you need to edit your registration or payment information, please refresh the page or begin again.

Transportation
Can you drive to retreat?*

YesNo
How many people, including yourself, can fit in your car?
Registration will begin at 4:00 pm on Friday. Are you able to be at St. Thomas More by that time?*

YesNo, I have a conflict.
What time are you able to arrive at St. Thomas More?

:HourMinutesAM/PM Option
NOTE: We will not receive your information until you click the yellow "Submit" button and (if paying through PayPal,) the payment is fully processed.
If you accidentally click an option you did not intend, the form may misbehave on the payment page. If you need to edit your registration or payment information, please refresh the page or begin again.

Emergency Contact Information
Parent Name*

First NameLast Name
Parent Phone Number*

Area CodePhone Number
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is this who we should contact in case of emergency?

YesNo, please contact the person below
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number

Area CodePhone Number
Emergency Contact Relationship
Do you have any food allergies?
Gluten, peanuts, etc.
NOTE: We will not receive your information until you click the yellow "Submit" button and (if paying through PayPal,) the payment is fully processed.
If you accidentally click an option you did not intend, the form may misbehave on the payment page. If you need to edit your registration or payment information, please refresh the page or begin again.

I, {name}, assume full responsibility for my own safety while I attend this CSU Retreat. I verify that I am not a minor. I will not hold the Catholic Student Union, the Co-Cathedral of St. Thomas More, or the Diocese of Pensacola-Tallahassee responsible in case of accident or injury.*

I agree.I am a under 18.
Are you on Retreat Team (attending Team Meetings; not including small group leaders)?*

YesNo
Price for Retreat Team
NOTE: We will not receive your information until you click the yellow "Submit" button (if paying through PayPal,) and the payment is fully processed.
If you accidentally click an option you did not intend, the form may misbehave on the payment page. If you need to edit your registration or payment information, please refresh the page or begin again.

Payment
How would you like to pay?*

PayPalCheckCashApply for Scholarship
Payment*

PayPalApply for Scholarship
Paid?
Current Date

YearMonthDay
Date
Retreat Start Date

MonthDayYear
Date
Day of Late Reg

MonthDayYear
Price will change at 12:00 AM this day
Price for Regular Reg
Price for New Reg
Late Fee
Price of Registration
Paypal Amount Due
Amount due to Paypal for Fall Retreat

prevnext( X )
USD
Payment Instructions - Check

Mail checks to:

CSU Retreat

900 W. Tennessee St.

Tallahassee FL 32304

or drop payment at the CSU Drop Box outside the CSU Business Office at St. Thomas More. Please DO NOT MAIL CASH.
Payment Instructions - Cash

Cash must not be mailed to the office. Please bring your cash in person to someone on staff in the business office to bpay for this retreat.
Amount due Check/Cash
NOTE: We will not receive your information until you click the yellow "Submit" button and (if paying through PayPal,) the payment is fully processed. If you have trouble registering, please contact Susan at office@fsucatholic.org.
Form Title
PLEASE NOTE: We will not receive your registration until your PayPal transaction is fully processed (you pay right now when you click the yellow submit button), or if you select "Apply for Scholarship." If you need to pay by cash or check, please email our office at office@fsucatholic.org to register. (if the price is not updating, try clicking "back" at the bottom of the form and coming to the page again.)
To apply for a scholarship, you must click submit and fill out the form at fsucatholic.org/retreats. This form is also available as a link immediately after you click submit.
If you accidentally click an option you did not intend, the form may misbehave on the payment page. If you need to edit your registration or payment information, please refresh the page or begin again.
Should be Empty:

Retreatant Information

Transportation

Emergency Contact Information

Payment

Payment Instructions - Check

Payment Instructions - Cash