SSDCA Retreat Registration


October 25 - 27, 2013

Registration Form

Please use one form for each person attending
Registration Deadline Extended: October 20, 2013

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)    $210 (if dues not paid)

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

$125 (if dues paid)  $135 (if dues not paid) 

I will be attending one day and do not need a room (specify day: )
 $50 (if dues paid) $55 (if dues not paid)

I will be attending one day and need a room for one night (specify day  and night: )
$75 (if dues paid) $85 (if dues not paid) 

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 Stella Maris, 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 is closed:
please contact Deacon John Tomandl (or phone 315-729-4668)
regarding lste registration.