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Grace Retreats
Apply for a Grace Retreat
Apply for a Grace Retreat
To attend a Grace Retreat please fill out the fields indicated below.
Name
*
Email
*
Contact Phone Number
*
Which Retreat?
*
September 13 & 14, 2012 (Women's 24 Hour Retreat)
November 8 & 9, 2012 (Women's 24 Hour Retreat)
March 14 & 15, 2013 (Women's 24 Hour Retreat)
April 18 & 19, 2013 (Women's 24 Hour Retreat)
October 4-6, 2012 (Women's 3 Day Retreat)
January 18-20, 2013 (Women's 3 Day Retreat)
April 26-28, 2013 (Women's 3 Day Retreat)
September 20 & 21, 2012 (Men's 24 Hour Retreat)
October 11 & 12, 2012 (Men's 24 Hour Retreat)
February 21 & 22, 2013 (Men's 24 Hour Retreat)
March 21 & 22, 2013 (Men's 24 Hour Retreat)
November 1-3, 2012 (Men's 3 Day Retreat)
May 30 - June 1, 2013 (Men's 3 Day Retreat)
Attending As...
*
Intercessor/Observer
Healing Prayer Recipient
Previous Attendance?
*
Yes (if yes, answer question below)
No
When did you previously attend?
How did you hear about Grace Retreats?
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If through referral, by whom?
Waiver Agreement - please initial
*
I understand that my attendance at a Grace Retreat is not under any liability or licensure, and that the Grace Retreat staff and location are not responsible for clientele as in the case of a licensed professional counselor.