The Diocese of Northern Indiana

Fall Clergy Conference Form

The annual Fall Diocesan Clergy Retreat will be held at the Lindenwood Conference and Retreat Center, in Donaldson, Indiana from October 11-13, 2010.

Please complete the following form. At the bottom, you will notice an anti-spam authentication box. Please complete it as instructed. To submit the form, please click on "Send".

Name:


Will you attend the retreat? Yes No


Which nights do you need lodging for? Monday Tuesday


Which meals will you be taking? Monday - Dinner      Tuesday - Breakfast      Tuesday - Lunch
                                                  Tuesday - Dinner      Wednesday - Breakfast      Wednesday - Lunch


Would you like to serve as host of the fellowship hour on either of these nights? Monday Tuesday


Which items out you like to bring to the fellowship hour?
Beverage Fruit Vegetables Cheese Chips Nuts Other


Any special instructions or comments?