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Register for LNCQ's June Retreat
Please fill out form completely and click 'Submit' before advancing to Payment section using the link that appears after the form is submitted.
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First Name
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Last Name
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Email
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Phone #
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Emergency Contact Name
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Emergency Contact Phone Number
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Are you a LNCQ member?
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Yes, and I have paid my 2022 dues
No, I would like to join LNCQ and pay dues so I can sign up for retreat
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