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Alpha Retreat Registration

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  This is your application for the Alpha Retreat. The Retreat experience is the beginning of a lifestyle of sharing your Christian faith at home, school, or wherever you are. Once we receive your registration form, a detailed information letter will be sent.
  Retreat Date: November 17 - 18, 2023. The Retreat times are Friday evening, 7 - 11 PM and Saturday from 9 AM to 6 PM which includes the 5 PM closing liturgy.
  The cost of the retreat is $60.00.
  
  Please note when filling out the registration form, please enter the name your teen likes to be called by.
  
  Anne Marie Gisoldi, Director of Youth Ministry
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Parent Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  School, Grade, and Age REQUIRED Please fill out this field. Please enter valid data.
  
  Medical/Psychological Concerrns Please enter valid data.
  
  Medication being taken Please enter valid data.
  
  Allergies we need to know about Please enter valid data.
  
  If you are interested: Parents sometimes donate food for the retreat. Individual packaged desserts - bring when you come 1 case of bottled water 3 - 2 Litre Bottles of Soda
  
  Cost of Retreat60.0
  
  Total:
  
  Submit
  
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St. Vincent Martyr

26 GREEN VILLAGE ROAD
Madison, NJ 07940

973-377-4000

Alpha Retreat Registration