Men's Retreat
Registrant's Name
*
First Name
Last Name
Phone Number
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Please enter a valid phone number.
Email
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example@example.com
Do you have any dietary restrictions?
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How are you planning to pay for the retreat?
*
Online
With cash or check
I'm needing assistance paying for the retreat
Please let us know how much you are able to contribute, so we can help with the difference.
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Would you like to sponsor someone?
Yes
No
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