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epc men's retreat registration
To register, please fill out the form below and make a full or partial payment by
May
15
th
to reserve your spot.
Total retreat price is $250. Any payment over that amount will be added to the scholarship fund.
Payment can be made at:
https://ppay.co/FzMENOl8QVc
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Email
*
Your email
Name
*
Your answer
Phone Number
*
Your answer
Address
Your answer
Carpool Information
I can join a carpool as a passenger
I would be available to drive my car for the carpool
If you are able to drive, how many can fit comfortably in your vehicle (including you)?
Choose
4
5
6
7
8
9
10
11
12
13
14
15
What time will you be able to leave on Thursday, May 16?
Choose
Anytime!
10am
11am
12pm
1pm
2pm
3pm
4pm
5pm
6pm
Other (leave details in notes)
I'm not sure yet - I'll get back to you
Notes/Requests
Your answer
After you submit this form, you can follow the link for retreat payment.
or check here if you are in need of scholarship assistance and we will be in touch!
scholarship request
A copy of your responses will be emailed to the address you provided.
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