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Lenten Retreat Registration 2019
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Contact Number
*
Your answer
Address
*
Your answer
Family Details
Spouse Name
Your answer
Child 1
Your answer
Child 2
Your answer
Child 3
Your answer
Child 4
Your answer
Child 5
Your answer
Children Age Details
Below 5yrs
5-10yrs
10-15yrs
Above 15yrs
Child 1
Child 2
Child 3
Child 4
Child 5
Below 5yrs
5-10yrs
10-15yrs
Above 15yrs
Child 1
Child 2
Child 3
Child 4
Child 5
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Accommodation required?(ACCOMMODATION IS FULL NOW.Availability Subject to cancellation only)
*
Yes
No
Have you attended this Retreat in any previous years
Yes
No
Special Request:
Your answer
Contact Details for Registration
Fr Biju Parekkattil - 0894239359 Mr Vinod George - 0879742875
Mr Biju Palakkal - 0879441587 Mr Bibi Paul - 0899615531
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