2026 SPRING RETREAT Registration
Feb. 27th - Mar. 1st
First & Last Name:
*
First Name
Last Name
Phone Number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email:
*
example@example.com
Gender:
*
Please Select
Male
Female
School:
*
Please Select
SEMO
UIS
SIU
WKU
*If Other* What school are you most affiliated with?
Year in School:
*
Please Select
Freshman
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Junior
Senior
Grad Student
Other
Campus Involvement
*
Greek Life
Student Athlete
Independent (other)
My Products
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Spring Retreat Payment
A 2-day retreat to have fun, connect with other students, and grow in your relationship with God
$105.00
$
105.00
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
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