Vraj Youth Retreat Summer 2K18
Friday June 22nd to Sunday June 24th
Email address *
Date of Birth *
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Name *
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Address *
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Insurance Company *
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Insurance Company ID *
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Insurance Group Number *
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Emergency Contact and Relation *
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Emergency Contact # *
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Expected Time of Arrival *
Would you like to lead a discussion *
If yes, what topic?
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On Sunday, Vraj will be having an open house for the local community. Will you be willing to volunteer from 2:30 - 4:30 pm? More info will be provided to volunteers. *
Would you like to join retreat committee? *
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