Page 1 of 1

CHICAGO AREA S-ATEEN FALL RETREAT REGISTRATION

Members of S-Anon and S-Ateen
October 9 - 11, 2026
LaSalle Manor Retreat and Conference Center
12480 Galena Rd,
Plano, IL 60545
S-Ateen is a fellowship of young people, ages 12 to 19; the only requirement for membership is that there be a problem of sexaholism in a relative or friend. S-Ateen members under 18 need to attend with a parent or guardian. Find out more: What is S-Ateen?

This event is sponsored by the Chicago Area S-Anon Intergroup, featuring speaker sessions and breakout meetings. S-Ateen members are also welcome to attend S-Anon meetings.  Program literature will be available for purchase. 
Registration closes on September 20, 2026.

If you have questions or need help completing this form, send an email to: ChicagoAreaRetreat@gmail.com.

What is your first name?

Last initial

I am ______ years old:

Email

Phone

State

Would you like your information to be included on the retreat S-Ateen contact list?  (You will only receive a contact list if your name is included.)

A
B

Meals will be served buffet style and a salad bar will be available at each meal. Special diet meals can be accommodated when requested ahead of time. Please indicate your food preference below; additional concerns can be emailed if necessary.

Please let us know if you are available for service during the retreat, and if so, which areas you are interested in. Signup Genius will be sent to breakout leaders later in the summer.

Do you have interest in attending a potluck dinner at 5:30 on Friday night?  (Details will be sent prior to the retreat to those who are interested.)

A
B

Are you interested in performing in this years Variety Show? (You can register now or when you check in, there will be a check in on Saturday afternoon to confirm your performance. Details will be sent prior to the retreat to those who are interested.)

A
B

Recording Release Statement: By voluntarily sharing in recorded sessions held at S-Anon & S-Ateen Chicago Area Retreat, participants relinquish all rights to the recordings to S-Anon International Family Groups, Inc. for the purpose of distribution by any means SIFG, Inc. sees fit. 

*Please Note: Recorded Sessions will be well labeled and non-recorded sessions will be available at the same time for those who prefer not to participate in recorded meetings.

I am registering as

A

Are you a newcomer to S-Ateen?

A
B

If you are younger than age 18, you are expected to have a parent or guardian in attendance at the Retreat. Please add their name below:

I am registering for

A

To help us navigate our venue's accommodations, please select the overnight area where you feel most comfortable and safe residing for the weekend:

A
B

(If you have accommodation needs other than those listed above, please contact us at: ChicagoAreaRetreat@gmail.com)

How will you be paying for the retreat

A
B

Are you applying a pre-approved scholarship code?

A
B

Questions?  Concerns? 
Please email the Retreat Committee at: