SEAS Women's ACTS Retreat Registration
You are invited to join the SEAS Women's ACTS Retreat on May 2-5, 2024. Please fill out the below information and a retreat team member will be in contact.
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First and Last Name *
Address *
Email Address *
Mobile Phone # *
Home Phone #
Home Parish
Referred By / Invited By
List any Medical Needs
List any Dietary Needs
Emergency Contact Person *
Relationship to Emergency Contact
Contact's Mailing Address *
Contact's Email *
Contact's Mobile Phone # *
Contact's Home Phone #
Will you be attending the retreat or are you an ACTS team member?
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