SSDCA Retreat Registration

 

September 11 - 13, 2015

Registration Form

Please use one form for each person attending
Registration Deadline: August 28, 2015


First Name:
Last Name:
Address:
City: State: Zip:
Phone:
E-mail:

Class of:


 

Attendance Options:
I will be attending the entire retreat, need a room for 2 nights
$200  (if dues paid)    $220 (if dues not paid)

I will be a commuter, attending entire retreat, but will not need a room 

$100  (if dues paid)   $120 (if dues not paid)

I will be attending one day and do not need a room
(specify day: )
 $65 (if dues paid)   $85 (if dues not paid)

I will be attending one day and need a room for one night
(specify day  and night: )
$100  (if dues paid)   $120 (if dues not paid)

Arrival may be as early as 11:30 AM; Friday lunch is on your own.  Registration and room availablilty begins at 3 PM.
 

If you do not plan on taking all meals at Notre Dame, please indicate those you expect to miss (Friday Dinner, Saturday Breakfast, Saturday Lunch, Saturday Dinner, Sunday Breakfast):


Special needs/dietary concerns:


I would like to help with:
Registration  Music  Liturgy  Hospitality  Anything I can to help


Total amount: $

American Express  Discover Card/Novus  MasterCard  VISA

 

 


If mailing registration, send with payment to:
St. Bernard's School of Theology and Ministry
Attn: Ellen Morningstar, Registrar
120 French Rd.
Rochester, NY 14618