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Health Ministry Retreat
Registering for
All Registrants
Name *
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Primary Phone
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Cell Phone *
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email *
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Information Request for May 17 & 18 Retreat Participants only
Home Address
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Interested in Car Pooling
Allergies
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Medical Alert
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In case of an emergency contact: name and phone #
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PAYMENT:

Make check payable to: FCC-Winchester. Mail to: FCC Health Ministry 21 Church St Winchester, MA 01890. All registrations and payments are due by Wednesday, April 17.
Family members need to register separately but payment can be combined in one check. For Frequently Asked Questions regarding the retreat, go to FCC Website and click on May 17 & 18 Events
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