Kingsmead Centre (Group)
ONLINE APPLICATION FORM FOR GROUP RETREAT/DOR [Form O-2]

Website: http://www.kingsmeadcentre.sg/
Name of Group
Parish
Religious Denomination *
Request for ... *
No of Persons making the Retreat/ DOR
(please indicate number of females and males)
Facilitation and Spiritual Direction *
*Indicate name/s of Facilitator/ SD from Kingsmead Centre
Date From *
MM
/
DD
/
YYYY
Date To *
MM
/
DD
/
YYYY
Please write in brief what your group is looking for *
(include the theme for Retreat/ DOR if there is one)
Name of Contact Person #1 *
Contact Tel of Person #1 *
Email Address of Person #1 *
Name of Contact Person #2
Contact Tel of Person #2
Email Address of Person #2
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