SSDCA Retreat Registration


September 5 - 7, 2014

Registration Form

Please use one form for each person attending
Registration Deadline Extended to: September 2, 2014

First Name:
Last Name:
City: State: Zip:

Class of:


Attendance Options:
I will be attending the entire retreat, need a room for 2 nights
$200 (Friday dinner through Sunday breakfast)   

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

$125 (includes meals while there)  

I will be attending one day and do not need a room
(specify day: )
 $50 (includes meals while there) 

I will be attending one day and need a room for one night
(specify day  and night: )
$75 (includes meals while there) 

Arrival may be as early as 11:30 AM and will include lunch (please call or e-mail Deacon John if coming early).  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

Online registration closed.
For late registration, please contact Deacon John Brasley