Discernment Retreat Registration Form
June 14-16, 2019
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Name *
Date of Birth *
MM
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DD
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YYYY
Email *
Address *
Phone number *
Highest Level of Education Completed (or currently completing) *
Current Occupation *
Home Parish *
Have you received the sacraments of Baptism, First Communion, and Confirmation? If no, please list the sacrament(s) that you have not yet received.   *
Are you currently active in any ministries in the Church? If yes, please list which ones and for how long have you been involved.   *
Please list your Emergency Contact: (Name/Relationship/Phone Number) *
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