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Registration:
Men's Cornerstone XXII

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  Please check to ensure ALL required fields have been entered, otherwise your form will not be submitted. If your form is submitted successfully, you will receive a confirmation email shortly after you submit your form. If you do not receive the confirmation, then we are not in receipt of your registration.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Home Street Address REQUIRED Please fill out this field. Please enter valid data.
  
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  Preferred Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Name of your home parish REQUIRED Please fill out this field. Please enter valid data.
  
  Any special needs? Please enter valid data.
  
  Will you stay at the church overnight from Friday evening to Saturday? REQUIRED Yes, I will do the overnight at the church No, I will be going home after Friday's session and will return in time for Saturday session. Please fill out this field.
  
  Family Member Contact Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
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  Emergency Contact
  
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  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Retreat Payment
  
  Amount:50.0
  
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- Retreat Payment: $50
  
  MEN'S CORNERSTONE RETREAT
  
  If you did not make your payment online at the time of submission, you can mail your check to Notre Dame of Mount Carmel Church, Attention: Men's Cornerstone, 75 Ridgedale Avenue, Cedar Knolls, NJ 07927 or bring it downstairs to our parish office.

Notre Dame of Mt. Carmel

75 Ridgedale Ave.

Cedar Knolls, NJ 07927 973-538-1358

Registration:
Men's Cornerstone XXII

Retreat Payment: $50

Registration: Men's Cornerstone XXII

Registration:
Men's Cornerstone XXII