Fall College Retreat 2016
First Name *
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Last Name *
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Email Address *
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Cell Number *
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Date of Birth *
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Mailing Address *
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Dorm & Room # on campus *
you'll receive a welcome packet
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Male/Female *
College/University *
Year in College *
Have you been on a retreat before? *
Do you have any medical or dietary needs? *
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Transportation is arranged in carpools. Are you willing to drive? *
Comments/Questions
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