Young Adult Retreat Registration

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Registration for Young Adult Retreat Weekend
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- Date REQUIRED June 24 - 26 "Spiritual Surrender" Young Adult Retreat Weekend Please fill out this field.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Street Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number REQUIRED Maximum 20 characters
  Please use dashes
  Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- If this is your first retreat, would you share specifically how you heard about Loyola? Please enter valid data.
- Gender
- Occupation Please enter valid data.
- Parish Please enter valid data.
- Birthdate (To help us assign rooms and track age trends for group) REQUIRED Please fill out this field. Please enter a date.
- Did you graduate from a Jesuit College or University?
- Name of School Please enter valid data.
- Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact Phone REQUIRED Maximum 20 characters
  Please use dashes
  Please fill out this field. Please enter a phone number.
- Notes: Is there anything you'd like us to know so we can accommodate you?
- Payment policy
  
  Since opening its doors for retreats in 1927, Loyola has successfully adopted a Free Will Offering approach of accepting donations of any size for its retreats. These donations are the primary source of revenue for Loyola and will help us sustain our operations during this time of crisis. Limited financial resources should not prevent anyone from making a retreat. No one is ever turned away because they cannot afford it. The suggested Free Will Offering for a weekend retreat is $350. You may offer what you are able to afford.
  
  We are asking for a $50 non-refundable deposit to register for all retreats due to many cancellations. You may offer this deposit either through a credit card or e-check. If you prefer not to give the deposit online you can email [email protected] or call Majella at 973-539-0740.
  
  Payment Options REQUIRED Registration and Free Will Offering Please fill out this field.
  
  Weekend Retreat - Free Will Offering REQUIRED 350.0 – Full In-Person Free Will Offering 50.0 – $50 Deposit 0.0 – Offer Deposit Later Please fill out this field.
  
  Additional Free Will Offering $ Please enter a positive decimal.
  
  OPTIONAL - Consider helping Loyola with Processing Fees 10.0 – Processing Fee for In-Person Retreat Donation 0.0 – Uncheck Processing Fee
  
  In the event of a cancellation more than 48 hours before the retreat begins, you may move your deposit or payment to another retreat/offering within the same retreat season (September through June) or donate your deposit or payment as a tax-deductible gift to Loyola Jesuit Center.
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