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Christ Renews His Parish Men's Weekend Registration 2/10/17 - 2/11/17
Email address *
Name *
Your answer
Address *
Your answer
Cell Phone Number *
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Email Address *
Your answer
Please select one of the following: *
If married, what is your wife's name?
Your answer
Do you have children? *
Names and ages of your children
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Emergency Contact Name + Relationship *
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Emergency Contact Phone + Email *
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Did someone from the parish invite you to participate in the Welcome Weekend? *
If yes, who? Name:
Your answer
Do you have any special needs that we need to be aware of to make your weekend experience more comfortable? i.e.: special diets, handicap accessibilities, hardback chairds, etc. Please explain: *
Your answer
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