2024 Central Region SUS Convention Registration

August 4th-7th 2024 | Please fill out this form and click submit.

This retreat will take place on August 4-7th, 2024 at Laguna Beach Christian Retreat

20016 Front Beach Rd.
Panama City, Florida

with our speaker from New Jersey, Fr. Mina Dimitri!

For any questions or concerns please reach out to retreat@stvnashville.org.

Name

*

Date of Birth

*

Phone

*

Email

*

This address will receive a confirmation email

Address

*

Shirt Size

*

Please select one option.

S M L XL XXL

State

*

Please select one option.

Tennessee Georgia Louisiana Mississippi Alabama

What church do you attend?

*

Please select one option.

St. John Kame- AL Coptic Community – Mobile St. Barbara – Shreveport St. Mary of Egypt – Lafayette St.Mark- LA St.Athanasius- Chatt St. Abba Sarapamone – Clarksville St. Mary – Knoxville Archangel Michael – La Vergne St. Mary & St. Rueis – Memphis St. Philopateer – Mt. Juliet St. Karas – Murfreesboro St. Barbara – Nashville St. Pishoy – Nashville St. Macarius – Nashville St. Mina – Nashville St. Mark – Nashville St. Mary – Nashville St. George – Nashville St. Kyrillos – Nashville St. Verena – Nashville St. John the Beloved–Smyrna St. Theodore – Hendersonville St. Macarius the Great – Nashville St. Paul – Atlanta St. Mark – Atlanta St. Mary–Atlanta St. Augustine – Augusta Archangel Michael – Macon St. Apanoub – Savannah St. Anthony the Great – South Atlanta

Who would you like to room with? *Roommates will be placed based on preference and the committee will do their best when finalizing placement * Please include first and last name of each roommate.

*

Payment $250

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

August 4th-7th 2024

Please fill out this form and click submit.

This retreat will take place on August 4-7th, 2024 at Laguna Beach Christian Retreat

20016 Front Beach Rd.
Panama City, Florida

with our speaker from New Jersey, Fr. Mina Dimitri!

For any questions or concerns please reach out to retreat@stvnashville.org.

Please Fix the Following

Close