SSDCA Retreat Registration


September 11 - 13, 2015

Registration Form

Please use one form for each person attending
Registration Deadline: September 7, 2015

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  (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