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ENC 211 RETREAT RSVP & CONTACT INFO.
Young Adult Men Ages 18 to 25: November 5, 6, 7
Please take a few minutes to complete this registration form.
Can't wait to see you at our next Encounter!!!
Contact us at (305)987-9591 or
encuentros.juveniles@theadom.org
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Email
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Your email
Retreatant Name
*
Your answer
Date of Birth
*
MM
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DD
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YYYY
Retreatant Marital Status
*
Single
Married
Divorced
Widowed
Other:
Retreatant Phone number
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Your answer
Address
*
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Number
*
Your answer
Have you Pre-paid Online?
*
Yes
Will pay upon arrival
Other:
How did you hear about Encuentros?
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Your answer
A copy of your responses will be emailed to the address you provided.
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