Enrollment Form

* = required field

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This is the enrollment form for the 2019 Dorian Choral Retreat at Luther College. Enrollment is open to anyone age 19 and above who would like to experience a choral weekend at Luther College. The enrollment deadline is Friday, June 21, 2019 at 5:00 pm. The retreat will take place from June 28-June 30, 2019.
First Name*
Last Name*
Email Address - Primary form of communication*
Cell Phone*
Home Address*
City*
State*
Zip Code*
Voicepart*
What best describes you? (check all that apply)*
If you are a Luther College alumnus/alumna, what is your class year?
Please select your housing and total payment option:*
If you selected a double room above, please name your roommate:
How did you hear about the Dorian Choral Retreat?*
A $50 non-refundable deposit is charged to your card at the time of enrollment. This deposit goes towards your total amount due for the retreat.
Payment Amount*
$50

Payment Information

Name as it appears on card*
Billing Street Address*
City*
State/Province*
Zip/Postal Code*
Country*
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