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Retreat Waitlist

Upcoming Events

07/19/2022

Summer Faculty & Staff Luncheon

Memorial Chapel

07/22/2022 - 07/24/2022

Alumni Summer Retreat

Catholic Student Center at University of Maryland

07/23/2022 - 09/01/2022

Catholic Terps Swag for Sale!

Catholic Student Center at University of Maryland

Please fill out this form and contact MJ Acevedo at mj@catholicterps.org when you have done so.

If you have not done so, please pay for retreat.

Cost is $50 per student, paid by venmo (@catholic-terps) or paypal- please indicate retreat when making payment, and PLEASE not choose purchase protection. Retreat fees are not refundable after deadline. Scholarships are available, please email mj@catholicterps.org.

Healing Retreat Spring 2022

Name*
First Last
Phone*
Email*
Gender*
Day of birth? (MM/DD/YYYY)*
Campus/University*
- University of Maryland
- American University
- Howard University
- George Washington University
- St. Mary's College of Maryland
Are you in a bible study?*
- Yes
- No
Class Year?*
- 2022
- 2023
- 2024
- 2025
- Graduate Student
I will be over 18 by the date of retreat*
- Yes
- No
Do you have any allergies or dietary restrictions?*
How did you find out about this retreat?
Check all that apply
- E-mail/List serv
- Mass announcement
- Mass flyer
- Personal Invite/Friend
- Other (Let us know below)
Other:
Other:
Emergency Contact Name*
Emergency Contact Phone Number*
In the event that I am incapacitated, the following medical information should be considered

Allergies, Meditations etc.
I am authorizing that, in the event I am incapacitated, and the emergency contact cannot be reached, I give permission for medical services to be administered.**
- Check to authorize
I assume responsibility for my own actions and safety on the retreat and therefore release the Catholic Student Center and Archdiocese of Washington DC of any liability which may arise from my participation in this retreat.*
- Check to authorize
These liabilities include travel by bus or car, sleeping in cabins, potential outdoor activities, meals etc.
I acknowledge that photographs or videotape of participants may be used in publications, websites or other materials produced by the Catholic Student Center. If you do not wish to be photographed or filmed, you must notify us in writing.*
- Check to authorize
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Admin

Catholic Student Center @ UMD
4141 Guilford Drive 
College Park, MD 20740
(301) 864-6223
connect@catholicterps.org

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