05-16-26 Stoneham One-Day Retreat Registration Form

If you have problems completing this form, email [email protected] or call 800-919-9332.

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Registration Selection*

Please indicate your status.*

This is my first Emmaus Ministry retreat.

This is not my first Emmaus Ministry retreat.

I am a current or future retreat team member; I am not a grieving parent.

I have participated in Emmaus Ministry retreats at (where?)

Name - Primary*

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Email - Primary*

Phone - Primary*

Address - Primary*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent 2 Name (if attending this retreat)

FREE WILL OFFERING (OPTIONAL)

Your optional donation will help offset our considerable costs of providing beverages, lunch, dinner, snacks, and retreat materials. All donations are appreciated.

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