DO NOT USE *2024 CrossRoad Alumni Retreat Registration Form*
PLEASE READ: DO NOT SIGN UP FOR RETREAT HERE. Click this link to sign up through Eventbrite:
https://www.eventbrite.com/e/crossroad-alumni-retreat-tickets-806766659797?aff=oddtdtcreator
Welcome to the retreat registration form!
Please complete this page to register.
Please plan to arrive at HCHC by 4
PM ET on Friday, March 1st and to depart the campus no earlier than 2 PM ET on Sunday, March 3rd.
ALUMNI INFO
First Name
Last Name
Email
Phone
Address Line 1
Address Line 2
City
Country
Please select...
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos ( Keeling ) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Côte d ' Ivoire
Croatia ( Hrvatska )
Cuba
Cyprus
Czech Republic
Congo ( DRC )
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands ( Islas Malvinas )
Faroe Islands
Fiji Islands
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Samoa
San Marino
São Tomé and Prìncipe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Kitts and Nevis
St. Lucia
St. Pierre and Miquelon
St. Vincent and the Grenadines
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Viet Nam
Virgin Islands ( British )
Virgin Islands
Wallis and Futuna
Yemen
Zambia
Zimbabwe
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Provinces
Please select...
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
State/Province
Postal Code
Date of Birth
Age on March 1, 2024
CrossRoad Year/Session
Please select...
2004
2005
2006
2007
2008—June
2008—July
2009—June
2009—July
2010—June
2010—July
2011—June
2011—July
2012—June
2012—July
2013—June
2013—July
2014—June
2014—July
2015—June
2015—July
2016—June
2016—July
2017—June
2017—July
2018—Session 1
2018—Session 2
2018—Session 3
2019—Session 1
2019—Session 2
2019—Session3
2020—Session 1
2020—Session 2
2021—Session 1
2021—Session 2
2021—Session 3
2022—Session 1
2022—Session 2
2022—Session 3
2023—Session 1
2023—Session 2
2023—Session 3
2023—Session 4
Do you have any food allergies?
Do you have any dietary restrictions?
Do you have any additional allergies?
EMERGENCY CONTACT INFO
(if under 18, please list one of your parents)
Contact First Name
Last Name
Phone
Relationship to you
LODGING INFORMATION
There will be separate lodging accommodations for Track A and Track B at our retreat facility.
While we will all stay at one retreat center, share meals together, and hear the same speakers, Track A alumni will stay in dorm-style rooms and Track B alumni will stay in suite-style rooms. Additionally, alumni will have both age-specific AND non-age-specific breakout group opportunities. Spouses and children are welcome!
Track A = Alumni between the ages of 17–22
Track B = Alumni ages 23 and up
Lodging information and registration fee indicated once you select your track below:
Please check which track you fit in:
Track A (17–22 years old)
Track B (23+ years old)
TRACK A (Alumni between the ages of 17–22)
Dorm-style rooms with twin beds and a sink. Shared bathroom.
Registration Fee for Track A: $80.00
Please select your preference:
Sharing a dorm with an alumni friend
Sharing a dorm with anyone (no preference)
Having a single dorm room (limited availability)
If you have a preference for who you share your dorm with, please list their name here:
First Name
Last Name
TRACK B (Alumni ages 23 and up)
Suite-style rooms (private bathroom, king/queen/full size beds available).
There are three lodging options for Track B alumni:
Option 1:
Register for a suite by yourself for
$115.00
for the weekend
Options 2 & 3:
Register to share the suite (shared bed) with one other alum or your spouse for
$100.00
per person
Please select which option you would like to register for:
Option 1 (suite by yourself for $115.00)
Option 2 (sharing suite with one other alum for $100.00 each)
Option 3 (sharing suite with my spouse for $200.00 total)
Options 2 & 3 Info:
Please identify the person you will be sharing a suite with:
First Name
Last Name
Guest is:
Please select...
CR Alum
Spouse
Former Staff
If your guest is a fellow alum, please make sure they complete their own registration form as well.
If you would like to bring your children, please email Jason Oneida (
joneida@crossroadinstitute.org)
and Jack Bushell (jbushell@crossroadinstitute.org) so they can welcome you and plan accordingly!
TELL US MORE!
What are you hoping to get out of this retreat?
UPLOAD A PHOTO!
Please upload a photo of yourself for our Alumni Retreat "Face Book" (a welcome and memory pamphlet given to all attendees).
If you do not upload a photo, your name will be listed in the "Face Book" without one.
RETREAT PAYMENT AND ALUMNI GIVING
Please prayerfully consider a donation to help reduce the overall cost of the retreat or support our alumni scholarship fund! We welcome and would be thankful for any additional support you are able to offer. A lower cost for the retreat may make it possible for us to offer more financial aid to alumni who would like to come, but have a financial barrier.
If you would like to contribute, please enter the dollar amount of your donation:
Dollar Amount
PAYMENT INFORMATION
You can submit your retreat fee on Eventbrite (link above) and any donations at the giving link in Eventbrite and giving link here as well:
https://crossroadinstitute.org/giving/
IMPORTANT NOTE: If you make a donation, please make it is a separate transaction from your retreat fee.
SIGNATURE CONFIRMING YOUR ATTENDANCE
I will attend the CrossRoad Alumni Retreat on March 1–3, 2024. I understand that by submitting this form, I am reserving a spot at the retreat for all retreat activities, housing accommodations for the nights of March 1 and March 2, as well as meals—dinner on Friday through brunch on Sunday. If I need to cancel my registration for any reason other than contracting COVID-19, I will notify CrossRoad at least two weeks before the event
or forfeit my registration fee.
First Name
Last Name
Please click the "Submit" button below to register for the retreat and receive your next steps (including payment)!
Thank you, and we look forward to seeing you at the retreat!
Contact Information