Retreat:
AOC Registration Form
Alumni Retreat
Name:
Student ID#:
Academic Year:
Local Address:
Local Phone:
Email:
Religious Denomination:
Any special needs or allergies?
Can you drive?:
If so, how many fit comfortably?:
Do you need a scholarship?:
Emergency Contact Name:
Emergency Contact Phone Number:
Emergency Contact Address:
Emergency Contact Relation:
Father's Name:
Father's Address:
Father's Phone Number:
Mother’s Name:
Mother's Address:
Mother's Phone Number:
Parent's Email:
Other Comments: