Canisius College - Campus Ministry Retreat Form

Sign up for a retreat by using the form below.

Sign up for the Alumni Retreat here.

Retreat
Name
Student ID #
Academic Year
Local Address
Local Phone
Email Address
Religious Denomination
Any special needs or allergies?
Can you drive?: Yes
No
If so, how many fit comfortably in your vehicle?
Do you need a scholarship?: Yes
No

Contact Name
Phone Number
Contact Address
Relation to you

Father's Name
Father's Address
Father's Phone Number
Mother's Name
Mother's Address
Mother's Phone Number
Parent's Email
Additional Comments/Questions