Talmeedo Men's Retreat Registration 2018
Email *
First Name *
Last Name *
Age *
T-shirt size *
Date of Birth *
MM
/
DD
/
YYYY
Cell Number *
(Example: (xxx)-xxx-xxxx)
Street Address *
(Example: 1000 Seminary Rd)
City *
(Example: Dalton)
State *
(Example: PA)
Zip Code *
Parish Name and Location *
(Example: St. Thomas Orthodox Church, Lancaster, NY)
Emergency Contact Person *
(Example: First name, Last name)
Emergency Contact Number
(Example: (xxx)-xxx-xxx)
Waiver
I understand that at Talmeedo Men's Retreat, my phone will be collected and I will not have access to it throughout the duration of the camp. This is so that participants are able to focus on the retreat without any distractions. I also understand that photos that I am in may be used by the Northeast American Diocese, HTRC, and Talmeedo Men's Retreat for promotional purposes. *
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