LHF 2021 Men's Retreat

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* 1. Full name and age/date of birth of male participant. (Patient, caregiver, father, son, or sibling ages 21+)

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* 2. Phone number that you can be reached at during the day.

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* 3. Please provide email address.

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* 4. LHF will reimburse mileage for those who live 50+ miles away from event facility. Will you need reimbursement?

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* 5. Please provide your address.

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* 6. A Louisiana Basic and Saltwater fishing license will be required for all of those who plan to participate in the fishing portion of the retreat. Fishing license can be purchased through the following website: https://www.wlf.louisiana.gov/page/recreational-fishing-licenses-and-permits
(Copy and paste into your web browser)
Are you able to purchase a license?

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* 7. Questions or comments? We welcome all!

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