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Via de Cristo Application
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Email *
Tim Bauer *
TimPreferred  Nickname
09/20/1948 *
MM
/
DD
/
YYYY
RLCChurch *
4443 W Crystal Ranch Pl, Marana, AZ 85658Home Address *
7205605980 *
Retired *
Sex *
Required
Marital Status *
Required
Li LangSpouse's Name (If spouse is not attending please explain why) *
0 *
YesAre you baptized? *
No *
Council, Art by Heart, Ushering, What church activities do you participate in? *
Revival *
ManyFriends That Have Attended Via de Cristo (Please include phone number and church) *
Participation in a Via de Cristo retreat is a gift to you from our Lord. The Southern Arizona Lutheran Via de Cristo movement is supported entirely by donations from past attendees. If you desire to support future retreats, it will be a personal and confidential commitment.                                                                             Please check the box below that you confirm the info above is correct and commit to attending the Via de Cristo retreat. *
Required
A copy of your responses will be emailed to the address you provided.
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