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Registration and Cancellation deadline:

Registration Information

Faculty Name:

Email:

Phone Numbers

	Campus:
	Home:
	Cell:

Spouse Name (if attending):

Transportation: Please mark all that MIGHT apply:
I need transportation
I plan to make my own arrangements
I would be willing to help others with transportation
I would be interested in riding with someone else

Childcare:
Childcare is provided during the sessions for children 12 and under. Please provide information for all those that will be attending with you.

Child's Name	0-2 years	3-7 years	8-12 years	13+ years	Childcare needed?(Y/N)

Housing Choice:

* Off-campus means you have made your own arrangements at your own expense.

** Meals and child care will not be provided on Friday evening. However, feel free to bring games and snacks to share with others.

Trinity Pines Cottages

Requests for cottages will be filled on a first come first served basis, however, housing changes may need to be adjusted to accommodate new faculty. Four cottages sleep 30 and one sleeps 24. Each cottage is carpeted and has a group area, kitchenette with microwave, range/oven, refrigerator/freezer, three bedrooms and with private bathrooms on first floor. Upstairs, three cottages have 2 bedrooms with one bath and one cottage has 1 bedroom with one bath. All have sleeping lofts upstairs. Each bedroom has 1 queen bed and 2 sets of bunks. Bedding and linens are not provided.

Please provide us with the names of other persons or families with whom you would be willing to share a cottage.
Please indicate if you/your family would be willing to share space in a bedroom if you do not require sleeping for 6. In this way, we might be able to accommodate more people on campus and not have many beds go unused.
If your children are not going to attend retreat, would you be willing to stay separately from your spouse if necessary?

Meal Choice:

Special Accomodations (dietary restrictions, access needs, etc.):