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Christ Renews His Parish Retreat Registration Form

Let's start with your personal details

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Sex

*

Sex

A

Male

B

Female

Age

*

What Parish Do you attend?

A

Immaculate Conception Auburn

B

St Mary of The Assumption, Avilla

C

St John Bosco

D

St Joseph, Garrett

E

St Paul of The Cross, Columbia City

F

St Anthony, Angola

G

St Gaspar, Rome City

H

St Michael, Waterloo

I

Queen of Angels

J

Immaculate Conception Kendallville

K

Blessed Sacrament, Albion

L

Immaculate Conception Ege

M

St Patrick, Arcola

Have you ever attended a Christ Renews His Parish retreat before?

*

Have you ever attended a Christ Renews His Parish retreat before?

A

No

B

Yes

Do you have any food allergies or restrictions ? if yes, a Kitchen Coordinator will reach out to you?

*

Do you have any food allergies or restrictions ? if yes, a Kitchen Coordinator will reach out to you?

A

Yes

B

No

Emergency Contact? (We feel that to get the most out of your retreat experience, it’s important to step away from phones during the weekend. We ask that participants not use their phones so they can be fully present. Before the retreat, we will contact your emergency contact, provide them with our contact information, and make sure they know how to reach us if anything urgent comes up at home.)

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