"When I'm weak, He is strong" retreat registration form.
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Full Name *
Nickname *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Address *
Email Address *
Phone Number *
Student/Working *
Student and Fresh graduate price: $70; Working price: $90
Transportation *
Payment Method *
If you choose to pay with check, please leave the "pay to" empty.
Do you have any food allergy?
Other needs?
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