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Women's Emmaus 2024
THIS RETREAT IS FULL. For more information or to see if spots opened up, please
contact: Ana Olavarria Vidal: aolavida@gmail.com
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Email
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First Name
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Nickname
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Last Name
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Phone
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Home Address
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Marital Status
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Current Age
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Which sacraments have you received in the Catholic Church?
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Baptism
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Holy Matrimony
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Parish you attend
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Emergency Contact Name
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Emergency Contact Relationship
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Emergency Contact Phone
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List any medications you are taking in case of an emergency
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Are you currently under the care of, or receiving medical treatment from a health care professional? If yes, please explain (confidential)
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Do you have a disability for which you are requesting reasonable accommodations? If so explain:
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Do you have food allergies? If so, which ones
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Do you know anyone (retreat participant or team member) attending this retreat? (If so, please list all names)
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I am aware of the retreat fee of $190 that provides for all lodging, food and supplies for the weekend.
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Yes but I may need financial assistance (we will contact you)
Are you a retreat participant or team member?
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