Resurrection Parish

ST. John Capistran &
ST. Thomas More Churches

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Men's Emmaus Registration Form

- Ministries
  - Emmaus (Men)
    
    Men's Emmaus Registration Form
  - Resources
    
    Safe Environment
    Ministry Scheduler Pro Login

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- Fill out this form to register for the Men's Emmaus Retreat
  
  Click here to learn more about the Emmaus retreat
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address Please enter valid data.
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- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Shirt Size Please enter valid data.
- Marital Status Please enter valid data.
- Age Please enter valid data.
- Name of Significant Other Please enter valid data.
- Emergency Contact #1 Name Please enter valid data.
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- Emergency Contact #1 Phone Please enter valid data.
- Emergency Contact #2 Name Please enter valid data.
- Emergency Contact #2 Relationship Please enter valid data.
- Emergency Contact #2 Phone Please enter valid data.
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- Please indicate and dietary requirements
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