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Young Adult Retreat Registration / Retiro de Jovenes Adultos Registración
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* Indicates required question
Email
*
Your email
Name: First and Last / Primer Nombre y Apellido
Your answer
Parish / City / State, Parroquia / Ciudad / Estado
Your answer
Date of Birth / Fecha de Nacimiento
MM
/
DD
/
YYYY
Emergency Contact Info / Contacto de Emergencia
Your answer
Are you Vaccinated
Yes
No
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If you have any musical talents that you would like to share during the retreat, please mention them below. / Si tienes algún talento musical que te gustaría compartir durante el retiro, favor de mencionarlo a continuación.
Your answer
Comfortability in English
Not comfortable
1
2
3
4
5
Extremely Comfortable
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Have you ever participated in a Redemptorist Young Adult Gathering? / Alguna vez has participado en algún evento Redentorista?
Yes
No
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Dietary / Health Conditions (allergies, diabetes, etc), Dieta Especial / Condiciones de Salud (alergias, diabetes, etc)
Your answer
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