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* 1. What is your first and last name?

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* 2. If you are registering other family members, please list their first and last names here. If you are only registering yourself, please write "none" or skip this question.

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* 3. How many children do you have who are 4 years old or younger and who will need childcare during the retreat?

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* 4. Do you have any dietary restrictions we should be aware of when purchasing lunch?

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* 5. Are you planning to pay for the retreat online or with cash/check? If the cost is preventing you from being able to participate, the church will gladly cover it for you. Please just let us know.

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* 6. Any other comments?

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