Divine Mercy Ministries
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~A site consecrated to the Divine Mercy~
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Retreat Registration
*First Name
*Last Name
*Phone
*Mailing Address
*City
*State
*Zip
E-Mail
*Emergency Contact
*Emergency Phone
*Would you like to carpool?
Yes
No
*Are you willing to drive?
Yes
No
This year we invite to be part of the retreat team. If you would like to help, please indicate your interest below:
Food preperation
Lead a session
Help with signing in/registration
Decorations
Music
Other (Please describe in notes field)
Preferred roommate(s)
Special notes - dietary requirements, etc.
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