2025 June Retreat Participants Info

Name

First Name

Last Name

Email

Would you like your email to appear in our retreat booklet? (This allows attendees to contact one another to arrange travel together or get in touch prior to the retreat.)

Yes

No

Emergency Contact

First Name

Last Name

Phone Number

I have the following dietary needs

I am allergic to:

Other dietary needs:

Any medical or disability-related needs you would like us to be aware of?

Yes (please specify)Yes (please specify)

No

Will you be traveling to the retreat by plane?

Yes

No

Would you like us to provide transportation from the shuttle stop in Bloomington to TMBCC on June 18th?

Yes

No

The shuttle I plan to take leaves Indianapolis airport at

Cell phone where we can reach you in transit

Airline and flight number

Would you like transportation from the TMBCC to the airport shuttle stop on June 22nd? (Shuttle departs at 3:25.)

Yes

No

If there is some other way we might facilitate your travel or stay, please advise:

Please write a short and informal bio about yourself that we can share with other participants in advance of the Retreat.

A photo will assist everyone in getting to know each other’s names more quickly (and name tags will be provided!). Please upload one here.

Maximum file size: 268.44MB