ADODI DETROIT 2014 SPRING RETREAT

Registration Form
Retreat Location: Spirit of Hope Church: 1519 Martin Luther King Jr Blvd, Detroit Mi 48208; phone: (313) 964-3113 For additional information, contact Sterling Sangoma at (313) 898-2306 / adosangoma@gmail.com

Please ll out, copy and send this form to:

Adodi Detroit, c/o Wesley Riley, P.O. Box 32068, Detroit, MI, 48232.
$70 - Early Registration, postmarked by March 15 $80 - Regular Registration, postmarked after March 15 and received by April 2 $90 - Late Registration, received after April 2: cash or money order only

Please mail checks and money orders payable to - Adodi Detroit - along with this form to:

Adodi Detroit, c/o Wesley Riley, P.O. Box 32068, Detroit, MI, 48232.
A $35 fee will be assessed for returned checks. For registration inquiries contact Ado Wes Riley at Clayborne313@aol.com.

! I have enclosed my full registration fee in the amount of $ . ! I would like to make an additional donation of $ ___________ to the Adodi Detroit Spring Retreat Scholarship Fund. ! I am interested in a home stay and/or local ground transportation assistance.
Please print carefully.
I plan to arrive on ___________________ via______________________________________________ and depart on ______________________ via _____________________________________________

A limited number of home stays are available. For questions regarding home stays, hotels, and ground transportation, please Wesley Riley: Clayborne313@aol.com - or Sterling Sangoma: adosangoma@gmail.com

First Name:________________________________

Last Name:____________________________________

Telephone: _____________________________ Is this a cellphone?____

Email__________________________________

Emergency Contact Name: _________________________________________ Phone:____________________________ Relationship:______________________

Mailing/postal address:

How did you hear about Adodi Detroit and this event? _______________________________________________________ Have you attended previous Adodi Detroit events? Have your attended an Adodi National Summer Retreat? Yes _____ Yes_____ No_____ No_____

Tell us if theres a talent or skill would like to share during the weekend? Yes: ___________________________________: Are you: Omnivore___ Vegetarian___ Vegan___ Other:___

Please list any physical or dietary needs you think would be helpful for us to know about:

For questions or information, contact Sterling Sangoma at (313) 898-2306 / adosangoma@gmail.com