SurveyMonkey Powered Online Survey

All SCJs in North America are asked to participate in one of the three Dehonian Retreats being offered in 2017 and 2018. Please indicate which date / location you will plan to attend. Note that the retreat to be held August 5-12, 2018, is intended for those in formation and their directors. Please commit to a date by July 12, 2016.

Question Title

* 1. I will participate in the following retreat (please choose one) / je vais participer à la retraite suivante

August 13-19, 2017, at Queen of the Apostles Retreat Center in Mississauga, Ontario

May 6-12, 2018, at the Siena Center in Racine, Wisconsin

August 5-12, 2018, at the Siena Center in Racine, Wisconsin (FORMATION RETREAT / SEULEMENT POUR LA MAISON DE FORMATION)

Question Title

* 2. Name and contact information:

Name / nom

Address / addresse

Address / addresse 2

City/Town / endroit

State/Province / province

ZIP/Postal Code / code postale

Country / pays

Email Address / courriel

Phone Number / téléphone

Question Title

* 3. If you are unable to commit to any of the dates offered, please explain in the space below / Si vous êtes incapable de participer, svp indiquez la raison ci-dessous: