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Inward-Outward Journey Retreat Registration Form

Saturday, April 8, 10:30 a.m. - 2 p.m. 
Sponsored by the Office of the Chaplaincy

Spring Retreat Registration Form
*First Name:
*Last Name:
*Campus Address:
*Phone Number:
*Email:
*Emergency Contact Name:
*Emergency Contact Phone Number:
*Relationship to you:
*Anticipated graduation year:
*Religious affiliation:
Campus ministry involvement:
Chaplaincy program involvement: (check all that apply)
Kairos
One Book, One Richmond
Multifaith Student Council
Past Pilgrimages
Holiday Events and Services
Short answer questions
*Why do you want to participate in this retreat?
*What questions would you like to consider in relation to your spirituality and vocational discernment?
*Do you have any special considerations? (dietary and health)
*Typing your name and the date will serve as your electronic signature.

Questions? Contact:

Michael Sciretti
Program Specialist for Spiritual Formation
Office of the Chaplaincy
mscirett@richmond.edu