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2021 RPM Retreat Registration
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Remaining Part Ministries 2021 Retreat Registration
Full Name
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Please let us know if you are single or married.
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Married
If married, please list your spouse's name below.
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If married, please note if your spouse will be attending. (We encourage them to fill out an individualized registration form as well).
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If married, please provide spouses email address
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Address (Street, City, State)
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Phone Number
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If you require disability accommodations, please provide details below. If none, please enter 'NA'.
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If you have dietary restrictions/allergies, please specify below. If none, please note 'NA'.
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