Registration Form

Light of the World Retreat

Personal Information
Name
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Gender
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Age
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Address
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Phone --
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E-mail
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Profession
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Marital Status
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Number of children
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Faith Info
Parish
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If you selected "Other," please indicate which parish you regularly attend.
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Why would you like to attend the Light of the World retreat?
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What do you expect to gain from this retreat?
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Who recommended this retreat to you?
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Have you ever belonged to or participated in a religious movement or association?
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If so, which one(s)?
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Other
Please indicate any special needs/requests.
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Spam Capture
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