Welcome! We are so excited to have you joining us at our retreat! To help us make your experience as peaceful and pleasant as possible, please take a moment to complete the information below.
First, the basics...
Full Name *
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What would you like your name tag to read (if different from your full name)?
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Street Address
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City
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State
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Zip Code
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Home Phone
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Mobile Phone
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Congregation
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Emergency contact name *
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Emergency contact phone number *
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W&R provides a list of participant contact information to use for carpooling, networking, etc. Please check below if you prefer your contact information to be kept confidential.
Please register me for: *
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