Join us on Freshman Retreat This Year!

For retreat details and updates, visit our website.

Earlybird Registration is $50, after August 11th it is $60. Which includes transportation, housing, food, and materials for the Retreat.

Please do not let the cost stop you from coming, scholarships are available!

For any questions about the retreat or to inquire about scholarships,

contact Campus Ministry for more info.

Tickets	Price	Fee
General Admission For Early Bird Pricing until August 11, please enter earlybird in the coupon box below	$60.00	$0.00

Total: $0.00

Early Bird pricing please use code earlybird to receive the discount, offer ends on August 11th!

Coupon Code

Total

$0.00

Participant Registration

Name

CUA Student ID#

CUA Email

Residence Hall and Room Number

Student Phone Number

Date of Birth

Gender

Male
Female

T-Shirt Size

For Dietary Restrictions and Allergies, if there are none please enter N/A.

Dietary Restrictions

Allergies

Emergency Contact Information

Name

Address

Parent/Guardian Email

Phone Number

Relationship to Participant

Health Insurance Information

Health Insurance Provider

Insurance Policy Number

Insurance Group Number

Billing Information

Name

Payment Method

Credit Card
Check or Cash

Credit Card

Visa
Mastercard
American Express
Discover

Address

Mobile Phone Number

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FRESHMAN RETREAT

Join us on Freshman Retreat This Year!

General Admission

Participant Registration

Emergency Contact Information

Health Insurance Information

Billing Information