Anchor Retreat 2023

Note: If you are considering applying for a scholarship, please do not register until after you have received your award.

If you have questions or concerns about the retreat, please contact us at [email protected]

Registrant Information

Name

Preferred First Name

Confirm Email

Yes, please send me updates and opportunities related to InterVarsity’s ministry.

Phone Number

May we text you at this number for event related updates, onsite emergencies, etc.?

Address

Date of Birth

Gender

Male
Female
Prefer Not To Identify

Accommodations Details

Shared Bed Acknowledgement

I am aware that I may be sharing a bed with another same gender attendee.
We will make every effort to provide individual beds but some rooms have queen or king beds that may be shared with a same gender bed mate.
I am married and bringing my spouse. My spouse will register separately.
Please provide name of spouse below. We will provide one queen or king bed as available. Each spouse is required to register for the conference separately.

Name of Spouse (optional)

Emergency Contact Information

Emergency Contact Name

Emergency Contact Phone

Emergency Contact Relationship

Medical Insurance: Are you covered by a Medical Insurance policy?

College / University Information

MBA College/University

Other MBA Program? Please specify:

Year of Graduation from MBA Program

How did you hear about the Anchor Retreat?

If there was an individual, please specify

Do you require any physical accommodations or have any dietary restrictions?

Other Requirements/Restrictions

Would you be interested in helping on the planning team for Anchor Retreat 2024

What do you hope to get from your Anchor Retreat experience?

Individual Release/Waiver

Should the PDF not display properly, you may download a copy of the Individual Release-Waiver_10.22.2020.pdf

Individual Release/Waiver | Version 10.22.2020

I have read and agree to the terms above.

Registration Type

Registration Options

MBA Student ($275.00)

Coupon Code

Sub Total

$0.00

Total

$0.00

Billing Information

Name on Card

Use a previously saved card

Credit Card

Visa
Mastercard
Discover

Save this card for future use

Address

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