Form- Upper Room Retreat Upper Room Retreat- September 2024 Registration Form 注册信息This form is to register as an overnight participant for The Upper Room Retreat at The Ark and The Dove. 參與者姓名（必需的） 第一页 后一页 生日（必需的） MM斜杠DD斜杠YYYY 性别（必需的） 男性 女性 地址（必需的） 街道地址 地址2 (街道) 市 州/省/地区 邮编/邮政编码 美国阿富汗奥兰群岛阿尔巴尼亚阿尔及利亚美属萨摩亚安道尔安哥拉安圭拉岛南极洲安提瓜岛和巴布达阿根廷亚美尼亚阿鲁巴岛澳洲奥地利阿塞拜疆巴哈马巴林孟加拉国巴巴多斯白俄罗斯比利时伯利兹贝宁百慕大不丹玻利维亚博内尔，圣尤斯特歇斯和萨巴波斯尼亚和黑塞哥维那博茨瓦纳布维岛巴西英属印度洋领地文莱达鲁萨兰国保加利亚布吉纳法索布隆迪柬埔寨喀麦隆加拿大开曼群岛中非共和国乍得智利中国圣诞岛科科斯群岛哥伦比亚科摩罗刚果民主共和国的库克群岛哥斯达黎加科特迪瓦克罗地亚古巴库拉索塞浦路斯丹麦吉布提多米尼克多米尼加共和国厄瓜多尔埃及萨尔瓦多赤道几内亚厄立特里亚爱沙尼亚埃塞俄比亚福克兰群岛法罗群岛斐济芬兰法国法属圭亚那法属波利尼西亚法属南部领地加蓬冈比亚 (西非的独立国)Deutschland (德国)加纳直布罗陀希腊格陵兰格林纳达瓜德罗普岛关岛危地马拉根西岛几内亚几内亚比绍圭亚那海地教廷洪都拉斯香港证券交易所匈牙利冰岛印度印度尼西亚伊朗伊拉克爱尔兰马恩岛以色列意大利牙买加日本泽西岛约旦哈萨克斯坦肯尼亚基里巴斯科威特吉尔吉斯斯坦老挝人民民主共和国拉脱维亚黎巴嫩莱索托利比里亚利比亚列支敦士登立陶宛卢森堡马达加斯加马拉维马来西亚马尔代夫马里马耳他马绍尔群岛马提尼克岛毛里塔尼亚毛里求斯马约特岛墨西哥密克罗尼西亚摩尔多瓦摩纳哥Монгол улс (蒙古)黑山共和国蒙特塞拉特摩洛哥莫桑比克မြန်မာ (缅甸)纳米比亚瑙鲁尼泊尔荷兰新喀里多尼亚新西兰尼加拉瓜尼日尔尼日利亚纽埃诺福克岛北马里亚纳群岛挪威阿曼巴基斯坦帕劳群岛巴勒斯坦国巴拿马巴布亚新几内亚巴拉圭秘鲁菲律宾皮特凯恩波兰葡萄牙波多黎各卡塔尔团圆罗马尼亚卢旺达圣巴塞洛缪圣基茨和尼维斯圣卢西亚岛圣马丁圣皮埃尔和密克隆群岛圣文森特和格林纳丁斯萨摩亚群岛圣马力诺圣多美和普林西比沙特阿拉伯塞内加尔塞尔维亚塞舌尔群岛塞拉利昂新加坡圣马丁岛斯洛伐克斯洛文尼亚所罗门群岛索马里南非南苏丹西班牙斯里兰卡苏丹苏里南河瑞典瑞士台湾(中国)塔吉克斯坦泰国东帝汶多哥托克劳汤加特立尼达和多巴哥突尼斯土库曼斯坦特克斯和凯科斯群岛图瓦卢乌干达乌克兰阿联酋英国乌拉圭美国本土外小岛屿乌兹别克斯坦瓦努阿图委内瑞拉维尔京群岛,英国维尔京群岛,美国瓦利斯和富图纳群岛西撒哈拉也门赞比亚津巴布韦佛得角刚果捷克斯威士兰赫德岛和麦克唐纳岛朝鲜民主主义人民共和国韩国* 澳门北马其顿俄罗斯联邦圣赫勒拿岛、阿森松岛和特里斯坦达库尼亚岛斯瓦尔巴岛和扬马延岛阿拉伯叙利亚共和国坦桑尼亚联合共和国土耳其越南南乔治亚和南桑威奇群岛乔治亚州 国家 电话（必需的）我们可以向这个号码发短信给您吗？（必需的） 是 没有 WhatsApp NumberIf you have a WhatsApp number, please enter it here. If you are traveling internationally, we will use WhatsApp to contact you. 电子邮件（必需的） 告诉我们更多关于您的信息！您所在教区/教会团体的名称（必需的）How did you hear about The Upper Room Retreat?（必需的）您之前去过 The Ark and The Dove 吗？（必需的） 是 没有 Optional Offerings:Retreatants may arrive on Thursday, September 5, 2024 if that will provide easier travel.（必需的）Will you be arriving on Thursday, September 5, 2024? I will arrive on Thursday, September 5. I will arrive on Friday, September 6 by 5:00pm. I am not sure of my travel arrangements. Retreatants are invited to attend optional pilgrimage date on Monday, September 9, 2024.（必需的）The pilgrimage details will be provided at a later date, but will include visits to Duquesne University, Franciscan University of Steubenville, and other sites in the greater Pittsburgh area. Yes, I will attend the optional pilgrimage days. No, I will not attend the optional pilgrimage days. I have not yet decided whether or not I will attend the pilgrimage days. Travel InformationPlease provide any travel information so that we can prepare for your arrival.How will you be traveling to The Ark and The Dove? Flying to Pittsburgh Driving Bus Other Will you need transportation from Pittsburgh airport? 是 没有 我不知道 Planned Arrival Date:（必需的）Please indicate which date you will arrive at The Ark and The Dove. We ask all retreatants to arrive on Friday, September 6 before 5:00pm. Thursday, September 5, 2024 Friday, September 6, 2024 I am unsure at this time 其他 Arrival Flight Time (Please use Eastern Standard Time)If you have not purchased your flight, please skip this question. 小时 : 分钟 上午 下午 上午/下午 Arrival Flight AirlineIf you have not purchased your flight, please skip this question.Arrival Flight NumberIf you have not purchased your flight, please skip this question.Planned Departure Date（必需的）Please indicate which date you will depart from The Ark and The Dove. The retreat will officially end on Sunday, September 8, 2024 around 2:00pm. Optional pilgrimage opportunities will be offered on Sunday afternoon and Monday. Guests are invited to depart by Tuesday, September 10. I will depart on Sunday, September 8. I will depart on Monday, September 9. I will depart on Tuesday, September 10. 其他 Below, please tell us your planned arrival date, arrival time, and departure date, departure time:如果适用，请列出任何饮食限制：我们将尽力满足特殊的饮食限制，但我们可能会就食物选择向您咨询。 还有其他评论或问题吗？支付信息Please note that your registration fee is a donation. We suggest a donation of $150.00 for the Upper Room Retreat. If you intend to participate in the optional Pilgrimage Days, we will invite an additional donation to help offset the associated costs. Registration Fee donation amount:Suggested donation amount is $150.00 总
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