Christ Renews His Parish Retreat Registration
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Which retreat? *
First & Last Name *
Preferred Name (Nickname) for Name Tag *
Street Address
City
State
Zip Code
Email Address *
Preferred Phone Number *
Secondary Phone Number
Registered in Parish *
Do you have any food allergies, dietary restrictions or require any special accommodations? *
If you answered "YES" above, please specify
Emergency Contact Name *
Emergency Contact Phone *
Emergency Contact Email *
Do you have any questions or comments?
Submit
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