2019 Five-Day Academy for Spiritual Formation

*First Name
*Last Name
*Primary Phone Number

Please give phone number where you are most likely to be reached out.


Please indicate the church you attend.

*Clergy/Laity Status

Please indicate whether you are clergy or laity.

Retired-not appointed
*Have you attended an Academy before?
This is my first Academy
I have attended a 5-Day Academy
I have attended a 2-Year Academy
Dietary and Accessibility Needs

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*Do you have experience facilitating a small group?
*Do you play a musical instrument?

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Instrument Played

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*Registration for the Five Day Academy for Spiritual Formation ($700)

Check the box to register for the Academy. Registration includes tuition, private room and bath and all meals. NOTE: Your registration must include a $100 non-refundable deposit to secure your place in the Academy. This may be paid via credit card or it may be mailed to the Conference Center. Please see your confirmation email for more details.


What is the Five-Day Academy? The Five-Day Academy for Spiritual Formation is a program of Upper Room Ministries, providing an opportunity for clergy and laity to tune their hearts toward God through a daily rhythm of prayer, worship, learning and reflection. Each day includes teachings by gifted spiritual leaders to deepen our walk with God, periods of silence, morning and evening prayer, Eucharist, and an opportunity to share with and encourage one another.

When and where will the Academy be held? April 28 - May 3, 2019, at King's House Retreat and Renewal Center, 700 North 66th St., Belleville, IL. Phone: 618-397-6584

What does it cost? If you register before February 20th, the cost is $675 which includes tuition, room and board plus all supplies for the week. If you register after February 20th, the cost will be $700.00. Rooms are single occupancy with private baths. Registration deadline is April 1, 2019. A $100 non-refundable deposit is required at the time of registration. We would like to offer a $100 discount to retired clergy who are not currently serving an appointment. Please select the appropriate box above under status.

Does the Five-Day Academy qualify for continuing education? Yes. If you choose to seek credit of the 3 CEU's offered, you will be provided with the necessary form to be signed by the faculty. The form must then be submitted to the leadership team with a $15 payment at the conclusion of the event. A commitment to full-time participation by all participants is expected.

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