Retreat Registration
Retreat Registration
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AA or Alanon Member *
Name  *
Address (include city, state zip) *
Phone *
Email *
Registration Type *
I'd like to share a room with: (if double occupancy chosen)
Dietary Needs *
Sobriety Date *
MM
/
DD
/
YYYY
Are you willing to help if needed? *
Do you have a sponsor *
How many others do you currently sponsor? *
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