Faculty Retreat Registration

Yes, I will attend Faculty Retreat.

No, I will not attend Faculty Retreat.

Name:   

E-mail:  

My spouse will also attend:
Spouse name:  
(as it should appear on nametag)

Lodging needed for:   (# of people) none 1 2 (type of lodging) none male female couple

Meals needed:
Monday lunch   none 1 2
Monday dinner   none 1 2
Tuesday breakfast   none 1 2
Tuesday lunch   none 1 2

Additional Comments: