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Shrine Visit/Event Form
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Organization / Parish Information
Name of Organization / Parish
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Address
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Phone Number
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Email
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Contact Information
Name
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Phone Number
Your answer
Email
*
Your answer
Event Information
Type of event
Parish/Group Retreat
Personal Retreat
Confirmation Retreat
Social event
Other
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If other, please specify
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Suggested dates of event
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Expected # of people in attendance
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Which option are you interested in?
*
Individuals making a pilgrimage – Free
Parish / Group visit on Friday – General Donation
Personalized Parish / Group retreat on a Tuesday, Wednesday, or Thursday – $35 per person
ADDITIONAL: Retreat talk by Catherine M. Lanni – $500
Required
Are you bringing along a priest to celebrate Holy Mass?
If you are interested in having your parish priest come and celebrate Holy Mass for your group at the Shrine, please email his “Letter of Suitability” to
info@sjdivinemercy.org
.
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