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Kairos Financial Application
Retreat Directors:
James Holzhauer-Chuckas, ObSB
Daniela Menichella
KAIROS@ucym.org
| 847-864-1185 x26
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Email
*
Your email
Participant First & Last Name
*
Your answer
The retreat costs $300
Do you need a FINANCIAL ASSISTANCE or a PAYMENT PLAN?
*
Financial Assistance
Payment Plan
FOR FINANCIAL ASSISTANCE
Scroll below if you checked "Payment plan"
How much financial assistance are you requesting?
*
Your answer
FOR PAYMENT PLAN
If you cannot pay the full retreat fee at one time, that is fine, but please list below when you will make your installments within 3 dates BEFORE THE RETREAT.
*
June 7th
June 14th
June 21
June 28
July 5
July 12
July 19
July 26
August 2
August 9
Required
Thank You!
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