Kairos XXII Registration
December 6th-9th, 2018
Student Name *
Your answer
Parent Name(s) *
Your answer
Student Email
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Parent Email *
Your answer
Mailing Address with zipcode *
Your answer
Phone Number *
Your answer
Please Check Grade: *
Please Check Gender: *
Hobbies/ Interests *
Your answer
Cost: $175*
Checks payable to: St. John Neumann Kairos XXII.

Mail or drop off check to: St. John Neumann Church Office, 601 East Delp Road Lancaster , PA 17601 (717)-569-8531

No one needing financial help will be turned away, contact Fr. Dan at FrDan@sjnlancaster.org re full or partial scholarship.

Attention : Important paperwork with details will be sent to you after receipt of registration

*Includes: Roundtrip transportation from SJN, shared rooms with en suite bathrooms, linens, meals, snacks, all program materials and music. Anticipatory Masses (fulfill Holy Day and Sunday obligation) are part of the program.

Site: Mariawald Retreat Center, Shillington PA
If you have any questions about registration please contact:

Barbara Goss, Kairos Director at: bgosshome@aol.com 717-725-0832
Linda Gowarty at: lgowarty@sjnlancaster.org 717-569-8531

We look forward to seeing you!
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