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2024 & 2025 Retreat Dates by Group

Group 19

Group 19 Registration Form

Name(Required)

First Last Suffix

Have you attended a retreat at Demontreville before?(Required)

Yes

No

Do you have your registration number?(Required)

Yes

No

Birthdate(Required)

Month

Day

Year

My registration number is(Required)

Do you have a change of address?(Required)

Yes

No

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Preferred Phone(Required)

Phone Type

Home

Cell

Business

Do you give us permission to text?

Yes

No

Email

Dietary Needs Accommodations(Required)

None

Gluten Free/Celiac

Dairy/Lactose Intolerant

Diabetic

Heart Healthy

Peanut Allergy/Sensitivity

Tree Nut Allergy/Sensitivity

Shellfish Allergy/Sensitivity

Fish Allergy/Sensitivity

Other

Room Special Requests(Required)

*Please Note* We cannot guarantee that we will be able to fulfill your request.

Anywhere is fine.

My usual room.

I need a room on the first floor.

Other

Room Special Requests(Required)

*Please Note* We cannot guarantee that we will be able to fulfill your request.

None

I need a room on the first floor.

Other

Are you interested in carpooling?

Yes

No

My first preference for volunteering during the weekend is

Straighten Chapel Chairs

Reader for Benediction

Server at Benediction

Server at Mass

Mass Lector (Reader)

Sunday Scripture Service Reader

Angelus Leader

Rosary Leader

Raise & Lower the Flag

If a new house captain is needed, would you be willing to be house captain?

Yes, in any house

Yes, in the house I am normally in

No

Emergency Contact

First Last

Emergency Contact Phone Number

Phone

This field is for validation purposes and should be left unchanged.