Discover Spring Retreat 2020 Registration Form
Theme of retreat: Discernment
February 21-23, 2020 at St. Mary's Parish in Solon, IA (5:15pm Friday - 1pm Sunday)
Deadline to register online, turn in release form, and pay $35 (cash or check) to Christine is Thursday, February 13, 2020
Transportation provided
First 30 students to register are eligible for an air mattress provided by Newman for the weekend
First Name *
Your answer
Last Name *
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E-mail address *
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Cell phone number *
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Local Address *
Your answer
Year in School *
Major *
Your answer
Date of Birth *
Your answer
Do you have any food allergies or dietary restrictions? Please explain. *
Your answer
Please list prescription medications you are currently taking.
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Do you have any other allergies or special needs that we should know about to make sure you are accommodated? Please explain. *
Your answer
Health Insurance Provider *
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Health Insurance Plan Number *
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In the event of an emergency please contact: *
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Emergency contact's phone number *
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I will be checked in at Newman for the retreat by 5:15 pm on Friday, February 21. *
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