Emmaus Retreat - Retreatant Application
Event Timing: June 10th to 12th, 2022
Retreat Location: Comunidad Siervos de Cristo Vivo
Contact us at (305)479-0664 or emmauswomendoral@gmail.com
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First Name *
Last Name *
Email *
Mobile Phone *
Home Phone *
Occupation *
Date of Birth *
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Religion *
Sacraments *
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Marital Status *
Please mention above any relevant health information we should be aware of *
Please list any medications or special needs above (allergies, special diet, etc.) *
Do you snore? *
 Shirt Size *
Emergency Contact Name *
Emergency Contact Relationship *
Emergency Contact Mobile Phone *
Emergency Contact Email *
Invited to this retreat by *
Provide her/his mobile phone: *
Do you know anyone attending this Retreat? (Retreatants or any team members) Please provide their names and Last Names *
Dietary Restrictions *
I understand that I will have to pay $150 to confirm my participation. Coordinate cash payment with Eimy or Solange or via Zelle at emmauswomendoral@gmail.com *
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