Registration Information

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*First Name:        *Last Name:

*Email Address:

*Campus: --Select Your Campus-- MTU MSU GVSU UofM EMU FSU NMU SVSU CMU WMU LSSU TRINE UW OTHER

*Gender: male female

*Phone Number: (use only numbers, no spaces, dashes, dots or symbols; include area code)

*Mailing Address:                

   Address 2:

   City:

   State:    Zip:

I need a ride to the retreat.

I can give a ride to the retreat.

I'm willing to lead a small group at the retreat.

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