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Welcome Retreat Online Registration
Email address *
Women's Weekend: July 20-21, 2019
Name *
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Preference for name tag *
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Address
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City *
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State *
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Zip Code *
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Cell phone *
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Are you a St. Jude Parishioner? *
Do you have any special dietary needs? *
Do you have any physical limitations? *
If 'yes' to either question, please elaborate
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Do you have a cot or air mattress? *
Emergency contact name *
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Emergency contact relationship *
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Emergency contact address (if same, please indicate) *
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Emergency contact phone *
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Emergency contact email *
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Comments or Questions?
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