NYC 2026 Registration

1

I am in for Laborers Retreat?August 14–16, 2026 · Cedar Lake Ministries

YESNO

2

I have a car and am willing to provide transportation to Laborers Retreat. Please note that transportation is not covered, so riders will be responsible for sharing the cost of gas.

YESNO

3

Name* This field is required.

First Name

Last Name

4

Birthdate* This field is required.

5

Gender* This field is required.

Male

Female

6

Ethnicity* This field is required.

Black or African American

Asian or African American

Hispanic or Latino

American Indian or Alaskan Native

Native Hawaiian or Pacific Islander

White

Multiracial

7

Email* This field is required.

example@example.com

8

Phone Number* This field is required.

Please enter a valid phone number.

9

What campus are you attending with?* This field is required.

UIC

Roosevelt University

Other

10

Year in School* This field is required.

11

Anticipated Graduation Date* This field is required.

13

I’d love to be part of the Chicago NYC Experience Team! I’m excited about the opportunity to help make NYC an unforgettable experience for everyone attending.

Yes

No

Maybe, I'd like to hear more info

14

Roommate requests: If you'd like to request to share a hotel room with anyone in particular, please let us know their name(s).

15

Emergency Contact Name* This field is required.

First Name

Last Name

16

Emergency Contact Phone Number* This field is required.

Please enter a valid phone number.

17

Any medical condition that we should be aware of that could affect your experience at the conference?

18

Any dietary restrictions that we should be aware of?

19

I am responsible to pay $300 for NYC by December 1st* This field is required.

I understand and agree