2025 Clergy Pilgrimage Registration Form

2025 Clergy Pilgrimage Registration Form

St. Anthony's Retreat Center, February 11-13, 2025
ATTENDEE INFORMATION
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Congregation, Ministry, or Organization*
If other...*
Do you plan to stay overnight at the retreat center?*

YesNoOther
Can you help with transportation to events during the retreat?*

YesNo
How many people can you fit in your vehicle?*
This number includes yourself
If you have special dietary requirements, please indicate. If you have food sensitivities or allergies, select "Other" and explain further below.

VeganGluten FreeOther
Please list your food allergies and/or other diet restrictions not listed above.
If you have special physical considerations or accommodation requirements (e.g. wheelchair), please explain.
Interisland Air Travel?*

YesNo
On the Thank You page (after you click submit), please click the link to the Interisland air travel request form to make your air travel reservations. The link will also be in your email confirmation if you are not yet ready to make your reservations.
Media Disclaimer

The Episcopal Church in Hawai‘i uses photographs and videos of events in brochures and newsletters, on its website, social media outlets, and other purposes. Unless this permission is revoked in writing to the Episcopal Church in Hawai‘i, the attendee agrees to the use of their likeness in such materials by their registration for and/or attendance at Diocesan events. If the attendee does not want their likeness used, they must inform the Diocesan Support Center.
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