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*

This field is mandatory

Phone Number*

This field is mandatory

E-mail*

This field is mandatory

The e-mail address is invalid

Emegency Contact: Name*

This field is mandatory

Emergency Contact: Phone Number*

This field is mandatory

Emergency Contact: Relationship to you*

This field is mandatory

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?*

This field is mandatory

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

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Thank you for completeing your registration! Keep an eye out for a "What do I need to bring" email. Any reason you need to reach out in the mean time, please don't hesistate to contact us. We will also be sending communication through email.

Retreat Experience Survey

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

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