Register - Deacon retreat

God Needs Storytellers! led by Deacon Rick Wagner

Name

First Name

Last Name

Will The Deacon's Wife Be Attending?

Yes

No

N/A

Name of Deacon's Wife

First Name

Last Name

Email

Phone

(###)

###

####

Dietary Restrictions

Any dietary restrictions (food allergies, gluten-free, vegetarian, etc.)? Please include the name of the person with the dietary need.

Name of Parish

Do you need a 1st floor room?

Yes

No

Do you have a room request?

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