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Two Foundations Retreat Form for Boys – Marysville

Two Foundations Retreat Form for Boys – MarysvilleNoor Atisha2022-01-24T08:24:47-05:00

"*" indicates required fields

All fields are required to submit application.

Retreatant Information:

MM slash DD slash YYYY

Parental Information

[This portion is required for ECRC records]

Primary Parent Information
Mother or Father*
Spouse Information
Mother or Father*
Please choose the opposite choice from the one above
Address*
Credit Card*
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Expiration Date
 
Terms & Conditions*

There is certain behavior and certain expectations that are encouraged on the journey. I understand that this journey is to focus on my personal relationship with God. I agree that if I am found in possession of or participating in any way with drugs or alcohol, I will be sent home immediately at my expense. I further understand that this is a Catholic Chaldean retreat and I am expected to participate in all planned meetings and activities and abide by all rules. By checking this box, I am agreeing with all terms mentioned and all my information that I completed above is true.

For the Parent/Legal Guardian ONLY

I am agreeing to the conditions and terms of the retreat shown above. Also ECRC Two Foundations retreat does have my permission to present the touching safety program to my child whose name is listed above.

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