John 15 Retreat Registration Form
I am registering for the following John 15 Retreat *
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First Name *
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Last Name *
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Preferred Name (for name tag)
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Email Address *
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Cellphone Number *
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Dietary Requirements *
Allergies
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Medical Needs (including any physical restrictions)
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Emergency Contact #1 (Name, Phone Number + Relationship) *
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Are you currently under 18?
Did someone encourage you to register for this retreat? If so, please put their name below.
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