Girls Retreat 2025
Are you a UL Student
*
Yes
No
ULID
*
Anticipated Graduation Semester
*
Please Select
Spring
Summer
Fall
Anticipated Graduation Year
*
Please Select
2024
2025
2026
2027
2028
2029
If you are not a UL Lafayette student, you must be registered as a student at SLCC in order to attend. Please upload your SLCC student ID below.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
E-mail
*
example@example.com
Registrant Name Info.
*
Mr.
Mrs.
Ms.
Miss
Dr.
Salutation
First Name
Last Name
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Sex
*
Male
Female
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Number
*
Contact ID
Account ID
SF Birthday
/
Month
/
Day
Year
Date
UL Account ID
Campaign ID
Amount
Opportunity Record Type ID
Graduation Year
Emergency Contact Full Name
GAU Allocation
Emergency Contact
Emergency Information
Emergency Contact's Name
*
First Name
Last Name
Relationship
*
Please Select
Mother
Father
Grandparent
Aunt
Uncle
Sibling
Babysitter/Nanny
Other
Emergency Contact Cell Number
*
Alt. Phone Number
Do you have any allergies, chronic illness, or medical conditions? If yes, please describe.
Billing Info (Payee Name, Address, Email)
*
Same as event Attendee
Other
Billing Contact First Name
*
Billing Contact Last Name
*
Billing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Billing Email
*
example@example.com
Credit Card/Other
*
prev
next
( X )
Registration Fee
$
75.00
Event Level
UL Student
First Name of Registrant
Submit
Should be Empty: