Bold Choices Retreat Registration (if paying with check) – Diocese of Scranton

Bold Choices Retreat Registration if Paying with Check or Money Order

Name
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Age
Parish Name
City or Town where Parish is located
Please list any special needs or accommodations you may need in the space below.
Bold Choices Retreat Registration Fee
Price:
Bold Choices Retreat Total
$0.00

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