Men's Emmaus III - Registration Form
Important Notice: Please be sure you click SUBMIT once you are finished completing this form. You will receive a confirmation message if all mandatory fields are complete (please note you registration has not been successful unless you receive the confirmation message) Thank you!
Personal Information
First Name *
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Last Name *
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Nick Name
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Date of Birth *
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Home Address *
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City / State *
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ZIP *
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Cellphone *
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Home phone *
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Email *
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Emergency Contact
(Who should we contact in case of an emergency?)
Name *
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Relationship *
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Cellphone *
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Health Information
Any health problems we should know about? *
If you answered "Yes" to the above, please describe:
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Any food allergies / restrictions? *
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Can you climb stairs? *
Other Information
Religious Denomination *
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Which Parish do you belong to?
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Polo T-Shirt Size: *
Do you need transport to get to the Retreat House? *
Sponsor Information:
(Who Invited you to the Retreat?)
Full Name *
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Cellphone
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Email
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Do you think any of your friends and/or relatives could benefit from attending an Emmaus Retreat? If so, give us their email address and we'll gladly contact them!
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IMPORTANT INFORMATION ABOUT THE RETREAT
WHAT IS EMMAUS?
Emmaus is a weekend long retreat where men gather to explore and deepen their Faith and religion, experience God in a personal way and grow in their spiritual life. The structure of this retreat is based on the reading found in the Gospel of Luke 24: 13-35 "Road to Emmaus". Like the disciples we start our journey so wrapped up in our feelings that we do not realize that it is Jesus who is accompanying us as we journey in our life on earth.
This particular retreat is for men only. Some men who come to the Retreat might be very busy, immersed in a very demanding and competitive life. They may feel the need to slow down and dedicate a bit of time to quiet their hearts and meet Jesus, our Lord. Other men may feel the need to renew their relationship with God.

DO YOU HAVE TO BE VERY FAITH-FILLED TO ATTEND THE EMMAUS RETREAT?
No, any man who wishes to explore his Faith, pray, and consider the bigger questions in life is welcome to attend.

COST AND OTHER CONSIDERATIONS
The cost for the weekend is $300. This includes full board and single room with bathroom.

Payment can be made on-line through the following link: https://forms.parishgiving.org/form-4289992/ or via check. Please note the on-line payment will add a transaction fee of $4.45

If you chose to pay via check, please mail check payable to "St Michael's Parish" to:
St Michael's Men's Emmaus III - Attn: Anthony Murljacic
31 Lake Drive South, Riverside, CT - 06878

The Retreat is for men over 21 years old.
Space is limited to the first 30 applicants.

LOCATION
Don Bosco Retreat Center
174 Filors Ln, Stony Point, NY - 10980
Click for google maps: https://www.google.com/maps/place/174+Filors+Ln,+Stony+Point,+NY+10980/@41.2148231,-74.0138786,2329m/data=!3m1!1e3!4m5!3m4!1s0x89c2c4dd52b22609:0x25dd24eee376adc8!8m2!3d41.221069!4d-74.0071976

ROOM and BOARD
Private single room with bathroom - all meals included.

WHAT TO BRING
Comfortable clothes and shoes according to the weather. Toiletries. Indoor shoes or slippers. Your pillow (if that will make you sleep better) We provide bedding, towels, snacks and all other needed materials.

CHECK IN
Registration will start at 5:45 pm (please be punctual, do not arrive after 6pm) Upon your arrival on Friday, drive to the Retreat Center and follow the signs.

IMPORTANT CONSIDERATION
To be 100% concentrated and with focus in God, we will ask you to give us all type of electronics: cell phone, laptop, tablet, as well your watch. Everything will be returned to you at the end of the retreat. Please, for any urgency, family and friends can communicate with you using the following numbers: Retreat Center @ (845) 947-2200 or Gaston Sirito @ (347) 988-4440

RETREAT CLOSING
It will conclude on Sunday at 5pm with Mass. Family and friends are invited to attend! The Mass will take place at the Jesuit Center.

FOR MORE INFORMATION PLEASE CONTACT
- emmaus.sm.men@gmail.com
- Juan Pablo Vivas @ (203) 832-9780
- Gaston Sirito @ (347) 988-4440

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