Creighton University

STEP 1. Complete the following form below, or register in person by completing a paper form at the Retreats Office in Lower St. John's.

STEP 2. Complete Retreat Contract and Liability Waiver (downloads available once this form is complete)

STEP 3. Submit these forms along with your non-refundable, non-transferable deposit of $10.00 to the Retreats Office. This completes your registration.

Make checks payable to Creighton University.

STEP 4. Be sure to pay the remaining balance of $10 or $15 one week prior to the retreat.

Name

Local Phone

Local Address

City

State

ZIP

If on campus, please list hall and room number:

Email

Age

Graduation Year

How did you hear about this retreat?

Please list any medical conditions, dietary concerns, allergies, or other info we should know about:

Names of Parents or Guardians

Their address:

City

State

ZIP

Phone number

Email

Emergency Contact (if different from above)

Phone

Have you attended CU retreats in the past?

Have you attended CU retreats in the past?

Yes
No

If so, please list:

If you would like to participate in the coffee house, what will you be presenting? (For example, song, dance, skit, poem). *REMEMBER THAT WE WILL BE FOCUSING ON A THEME OF WOMEN AND COURAGE!