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Retreat Experience Survey

Survey for Fall 2022 Retreat 9/9 - 9/11

Please take a few minutse to answer the questions below as they relate to your experience.

Full Name*

Phone Number*

E-mail*

Emegency Contact: Name*

Emergency Contact: Phone Number*

Emergency Contact: Relationship to you*

Please list any dietary needs, faith-based dietary restrictions or medical issues we should be aware of. For example, vegetarian, nut allergies, etc.

Disability Support - Please list any needs or requests here.

Shirt Size

How did you hear about this C4 Intiative Retreat?*

If you're comfortable, please share what motivated you to attend our retreat? (this will help us cater to your needs as much as possible.)

Please enter any additional questions or information you feel we should know below: (Please, we will follow up with you to obtain additional information once completed.)

* Indicates required fields

Home
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Contact Us

Retreat Experience Survey

Survey for Fall 2022 Retreat 9/9 - 9/11

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