2022 Greek Leaders Retreat Registration
Greek Leaders Retreat (GLR) will be Friday, January 14 - Sunday, January 16, 2022. Buses will depart Friday at 3:00pm in the Greek Village Parking Lot behind Alpha Delta Pi sorority house (2612 Stewardship Park), and will return Sunday afternoon around 4:00pm.

Please complete this form if you are:
1. Chapter President (or Proxy/Alternate) of your fraternity or sorority
2. Council Executive Board Officer
3. Order of Omega Officer

If your chapter has not held fall elections yet, but a new person will assume this role in the spring and would attend GLR for your chapter or position, please send them this registration form.

If you have any questions, please contact Julie Bryant at jcbryan4@ncsu.edu.  The deadline to register is 11:59pm on Wednesday December 15, 2021.
Email *
Contact Information
First Name *
Preferred First Name *
Last Name *
Pronouns
Cell Phone Number *
format: 213-456-7890
NCSU ID # *
Emergency Contact First & Last Name *
Emergency Contact Relationship to You *
Example (Parent, Guardian, Sibling, Partner, etc.)
Emergency Contact Phone Number *
format: 213-456-7890
Dietary Restrictions, Allergies, and Accommodations
Please list any additional allergies, medical information, or accommodations we should be aware of *
Please put "N/A" if you have no allergies, medical information, or accommodations.
Please list any food-related allergies, dietary restrictions, or necessities you have *
Please put "N/A" if you have no food-related allergies, dietary restrictions, or necessities.
Chapter and/or Council Position Information
Please identify the role/position you will be representing at GLR *
Required
If you are attending as a Council Executive Board Officer OR are representing your chapter president as the proxy/alternate, please indicate your position title. (Example: Alpha Alpha Alpha Vice President)
Please indicate the Greek Council your Fraternity or Sorority is part of. *
Please indicate your Chapter Affiliation *
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