New Retreatant Registration

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Forming joyful disciples of Jesus Christ

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- New Retreatant Registration
  
  This retreat is full. Please email Sr. Mary Elizabeth at [email protected] to request a link to the waitlist for retreat.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Emergency Contact
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
  
  Any relevant medical or allergy info? (Please include any food allergies)
  
  Will you be bringing a nursing infant? REQUIRED Yes No Please fill out this field.
  
  Do you desire to be added to a Small Group to discuss and process the content of the retreat? REQUIRED Yes No Please fill out this field.
  
  Are you willing to share a room? REQUIRED Yes No Please fill out this field.
  
  If so, do you have a roommate request? Please enter valid data.
  
  Are there any special accommodations needed for sleeping arrangements (i.e. noise sensitivity, handicap access, etc.)?
  
  Who is your confirmation saint, or your patron saint? (This is optional, so you can leave this blank if you don't know or don't have one.) Please enter valid data.
  
  Payment275.0
  
  OPTIONAL: Pay it Forward (Help women who want to attend but financially are unable to) $ Please enter a positive decimal.
  
  Total:
  
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