AGAPE FALL RETREAT
Agape is excited to announce that registration is OPEN for the 2018 Fall Retreat. This year, the theme will focus on “The Church: The Body of Christ”.

This retreat will take place Friday, October 19th - Sunday, October 21st at the Capuchin Retreat Center.

Check-in time on Friday is 7:00pm. We will end by 12:00pm on Sunday. As the date gets closer you will receive an email with more details and a packing list.

COST:
$65 for Students
$125 for Non-student young adults

REGISTRATION INSTRUCTIONS:
1. Fill out this form completely

2. If paying by check, please make checks payable to "St. Mary of the Hills" with AGAPE RETREAT in the Memo Field.

MAIL TO:
Agape Retreat
2675 John R. Rd.
Rochester Hills, MI 48307

3. So that we can keep an eye out for your check, please let us know your check is on the way at agapepav@gmail.com

4. To make a cash payment, please also contact us at agapepav@gmail.com

As always, money should not hinder anyone from attending this retreat. Please contact us by email for scholarship and financial aid information.

Email address *
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Last Name *
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Phone Number *
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Address and Street Number *
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Birthday *
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Religion *
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Have you been on retreat before?
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What is your College/University?
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What is your student number?
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Do you have any dietary restrictions? If yes, please explain
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T-Shirt(Unisex Size) *
Person we can contact in case of an emergency:
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Emergency Contact Address
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Are you currently on any medications?
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Medical Insurance Company
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