Fall Retreat 2019
Please fill out each section completely and return with your $40 payment by 
Tuesday, November 5th. Cash or checks payable to: University Parish Newman Center. Retreat fee is nonrefundable and includes all food, lodging, and materials. If you are experiencing financial hardship, please contact Veronica at vvictori@kent.edu to discuss your options.
Name *
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Local or Campus Address *
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Phone *
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Email *
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Gender *
Year *
Major *
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What are your hopes for Fall Retreat?
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Transportation Information
Please note any allergies (including food), medications being taken, medical concerns, dietary concerns, or accommodations that you request.
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