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Sts. Peter and Paul Retreat Center, 2734 Seminary Rd., S.E., Newark, OH 43056-9339
Father’s Information Name: _________________________________ Address: ________________________________ ________________________________ Telephone number: (home) __________________ (cell)_______________ Son’s Information 1. Name: _________________________________ Address & Telephone numbers: (if different than father’s) ________________________________ ________________________________ (home) ___________________ (cell)________________ 2. Name: _________________________________ Address & Telephone numbers: (if different than father’s) ________________________________ ________________________________ (home) ___________________ (cell)________________ |
Please print and fill out the form
then mail it in with your check.