2018 Academy for Spiritual Formation

Contact Information
*First Name
*Last Name
Preferred Name
*Address 1
Address 2
*City
*State
*Zip
*Phone
*Email
*Are you clergy?
Yes
No
*What is your current occupation?
*Home Church?
*Age Group?
25-29
30-39
40-49
50-59
60+
*Is this your first Academy?
Yes
No
*I have experience/interest in leadership in the following areas:
Please select all that apply.
Worship
Singing
Musical Instruments
Small Group Facilitation
None of the Above
If you selected musical instruments, please list instruments with which you have experience below.
*Would you be willing to share your abilities during the Academy?
Yes
No
*Do you have any special dietary needs or restrictions?
Yes
No
If you answered "yes" above, please list dietary needs/restrictions below.
*Do you have any special housing needs? Ex: a loud CPAP machine that requires you be in a room alone, a medical reason for needing a downstairs/handicap accessible room, etc.
Yes
No
If you answered "yes" above, please list your housing needs below.

This includes specific roommate requests.

*Rooming Preference and Rates

*A $100 deposit is required at the time of registration to secure your room preference.

**We are currently out of single rooms. If you would like to be placed on the single room waiting list, please register for a double-room and indicate your preference for a single room in the housing needs space. If a single room comes available, we will contact those on the wait-list on a first-come, first-served basis. Should you be contacted and shift from a double to a single room, we will adjust registration fees.** 

***Please note that due to a limited amount of space, only 20 private rooms are available. Private rooms will be assigned on a first come, first served basis--unless there is a medical need for a private room. Once these spaces are filled, we will contact registrants with the double-room option at the double-room rate.

 

Double Room ($580.00 early | $600 standard) ($600)
**OUT AS OF 09/21**Single Room ($650 early | $670 standard) ($670)

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