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Welcome Retreat Registration

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  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Name (for name tag) REQUIRED Please fill out this field. Please enter valid data.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
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  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  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.
  
  Are you a St. Jude Parishioner? REQUIRED Yes No Please fill out this field.
  
  Any special dietary needs? REQUIRED Yes No Please fill out this field.
  
  Any physical limitations? REQUIRED Yes No Please fill out this field.
  
  Do you have a cot or air mattress? REQUIRED Yes No Please fill out this field.
  
  If yes to either dietary restrictions or physical limitations, please explain
  
  Which retreat are you signing up for? REQUIRED Men’s Retreat: February 18-19, 2023 Please fill out this field.
  
  Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Email REQUIRED Please fill out this field. Please enter an email address.
  
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- Contact Us
  
  Teresa Rodenbaugh
  
  Adult Faith Formation Coordinator
  
  (972) 727-1177 x2240
  trodenbaughstjudeparish.com

St. Jude Catholic Parish

Allen, TX

Welcome Retreat Registration

Contact Us