Catholic Medical Retreat

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$360.00 – Thursday to Sunday Conference & Retreat

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$260.00 – Friday to Sunday Silent Retreat

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Guest 1		First Name* Last Name* Email* Gender*
Guest 1		First Name* Last Name* Email* Gender*

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Your Diet *
Diet Notes and Special Needs or Requests	Please let us know of any comments or needs
Parish	Church you attend
Parish City	City of the Church you attend
Emergency Contact Info	Name and best phone number
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