Breaking Down Check Reg | Notre Dame Spiritual

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WELCOME
ABOUT
RETREATS & PROGRAMS
OTHER CONTACTS
SPIRITUAL RESOURCES
- Joyful Mysteries Rosary in Ipswich
- Christian Centering Prayer

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First name*

Last name*

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Phone Number (###-###-####)*

Address (Street Number, Street Name, City/Town, State, Zip Code)

Gender*

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Male

Marital Status*

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Vowed Religious

Emergency Contact Name & Phone Number (###-###-####)*

Health Needs (include allergies we should be aware of)*

Previous Retreat History (Where, When, How Long, etc.)*

Dietary Preferences*

Regular Diet

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Your registration will be complete after you click "Submit" and mail a check for $100 to The Notre Dame Spirituality Center at 30 Jeffreys Neck Road, Ipswich, MA 01913.

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