05-30-26 Footville WI Registration Sheet - Emmaus Ministry For Grieving Parents

05-30-26 Footville WI Retreat Registration

In Cooperation with the Diocese of Madison, WI and the Emmaus Ministry for Grieving Parents

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URL

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Registration Selection*

Please register for this retreat by completing this form. If you have any difficulty completing it, please call Diane at (800) 919-9332 or email her at diane@emfgp.org.

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 be used to help offset our costs of providing these retreats. Suggested donation: $50/Individual; $75/Couple.

Donation Amount

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