Women's Retreat Registration Form

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Saturday, March 5, 2016 @ St. Elizabeth Ann Seton Church
Registration & Breakfast Begin at 8:00AM
Retreat Runs 8:45AM - 3:45PM
Mass at 5:00PM
Eucharistic Adoration available 8:30AM - 5:00PM

Registration Deadline is March 1st

First Name *

Last Name *

Phone (Cell): *

Email: *

Registration: *

*Note registration is not confirmed until payment is received in the parish office. Payment is non-refundable. Please contact Trish Lokmer if financial assistance is needed.

$40 per person

$280 Hosting a Table of 8

If Hosting a Table Please Indicate Names of Women at Your Table (If Possible): Jeanie Ruehlow is hosting a table for us.

*Each person must register individually & indicate on their form name of table host.

Lunch Choice - Option #2 *

*Option 1 is Gluten-free

*Option #1: Yankee Bean & Ham Soup w/ Garden Salad

Option #2: Broccoli Cheese Soup w/ Dill Turkey Sandwich

Do you need a gluten free dessert? No *

Yes

Special Considerations/Needs for the Day: None :)

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