The Haden Institute
Email Us

828-693-9292
Fax 828-693-1919
PO Box 1793
Flat Rock, NC 28731

Graduate Weekend
Registration

YES, please hold a place for me. I understand that there is a $50 Registration Fee (non-refundable).

Required fields are marked with an asterisk (*).

Personal Information

Male   Female

Please include your area code and separate your entry with dashes (e.g. 123-456-7890)

Emergency Contact Information

Please list someone who will NOT be with you.

List any health issues:

Religious Information

Please select one of the following *:
Layperson
Member of Religious order
Deacon
Priest/Minister

Room - OR - Commuter Request Room at Kanuga
Commute to Kanuga

Room Request

Lodging Preference (includes all meals) *:
Cottage
Guest House
Inn

Room Selection *:

Double

Single (If Available)

Commuter Request

Commuter Meal Preference *:

With lunch and supper
With all meals
Brief Notes

Please indicate if you want a single or double room [give roommate request] *.

Payment

Online Credit Card Payment through PayPal

(VISA/MasterCard/American Express/Discover)

Check - Mail to:

The Haden Institute
PO Box 1793
Flat Rock, NC 28731

Phone In Credit Card (VISA/MasterCard)

828/ 693-9292