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CRHP Women's Weekend Registration
July 29-30, 2023

- CRHP
  - Register for Women's Weekend
  - Register for Men's Weekend

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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.
- 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 registered parishioner of Uptown Catholic? If so, which parish? REQUIRED Please fill out this field.
- Do you have any dietary restrictions? If so, what are they?
- Emergency Contact
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Please fill out this field. Please enter valid data.
- Do you have anyone that you would like to recommend for the retreat?
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