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Retreatant Information
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First Name
Last Name
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Example: 2019

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Please list any dietary restrictions you may have.
Emergency Contact Information
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First Name
Last Name

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Payment/Miscellaneous Information
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Please email Sr. Leandra (lkosmoski@ur.rochester.edu) if you have any questions or require a scholarship.
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Mercy Spirituality Center is approximately a 5 minute drive from campus.