Registration for Men's Emmaus Retreat

Registration for Men's Emmaus Retreat

Please complete this form to register for the Men's Emmaus Retreat on November 14-16 at Cedarkirk Camp and Conference Center in Lithia, Florida.
Full Name*

First NameLast Name
Parish
E-mail*
example@example.com
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Age*
Shirt Size*
Emergency Contact*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Dietary Restrictions
Please note any dietary restrictions (if applicable)
Cost of Retreat

The cost of the retreat is $150 for a shared room and $225 for a single (includes room, board and program). Please let us know if you need a scholarship to attend the retreat. No one is prevented from attending due to a lack of resources.
YesNo
YesNo
Payment

Payment for the retreat is made online directly to the Church of the Resurrection. You will receive a confirmation email with a link for the online payment. Please complete your registration by making payment online.
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