Please complete the information below.  When you are done, press "SUBMIT" and your form will be forwarded to info@vidanueva.net

Date:

Address:  

City: State: Zip:

Cell Phone: Other Phone:

Email Address:

VN Community 

If you hold a position on this community's Council, what is it? 

Are you a Spiritual Director on your weekends? 

T-Shirt size (S, M, L, XL, 2X, 3X):

Do you have any accessibility needs that we need to be aware of? 

Do you have any special diet needs that we need to be aware of?

Will you be staying at the Apison Retreat Center (Y or N)?

Sex (M or F) for dorm assignment purposes

Will you be travelling by air? (i.e. will you need bedding? "Yes" or "No")   (Those driving are asked to bring their own bedding)

If you are flying in to Chattanooga, will you need transportation assistance to/from the airport (Y or N)?

If you are flying in to a different airport, will you need transportation to/from the Groome Transportation Center in Chattanooga (Y or N)?

Which of the following topics are you most interested in?  (Check all that apply)

        Essentials Training
        Community Updates (including successes and challenges for surviving COVID) 
        Team Commitment and Involvement 
        Enhancing Team Training
        Staying Connected After the Weekend
        Legal Issues and Requirements (Background checks, Mandatory Reporting, etc) 
        Youth Leadership on Weekends and Councils 
        Spiritual Director Outline Review 
        Fundraising Opportunities 
        Online applications and payment
        Other1   Please specify
        Other2   Please specify

Registration fee:  includes 4 meals and 1 night lodging at the Apison Retreat Center.*

* (Those wishing to stay over Saturday night are welcome to do so at no extra charge)

      $45.00 until May 23

      $55.00 May 24 to June 1

      $65.00 after June 1

Payment options will be presented after clicking the "Submit" button.