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Therapy Ranch Retreat 2022 10:30am -3:30 pm all retreats are on Sundays At Prainito Stables Ray, MI
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Email
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name
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Birthdate /birth year
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please share you address city and zip
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race & ethnicity this allows us to show funders who we provide services to
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phone number
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Emergency Contact name and phone number
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Which retreat date would you like to attend?
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October 23rd youth 7-12
private please contact me to schedule
Other:
Lunch Choices Jimmy Johns box lunch
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Choose
#1 The Pepe - ham and cheese
#2 Big John roast beef
#3 Totally Tuna
#4 Turkey Tom
#5 Vito - salami, capicola, cheese, onion, oil & vinegar
#6 Veggie - cheese, avocado spread, cucumber
cookie
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chocolate chip
oatmeal
Other:
chips
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regular
vinegar
BBQ
jalapeno
Other:
How did you hear about Therapy Ranch?
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google search
word of mouth
Instagram
facebook
How would you like to pay for the retreat? Payment is due with registration $110
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venmo - @Therapy-ranch
paypal @therapyranch
square invoice can be emailed to you
paper check - mail to Therapy Ranch 509 Barrington Rd. Grosse Pointe Park MI 48230
Prainito Stables is located at 68490 Wolcott Rd. Ray MI
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