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Road to Emmaus RETREAT REGISTRATION

October 31 - november 2, 2025
- Retreat Payment Instructions:
  
  You may pay your $225 retreat fee online at registration. You may also drop off your check at our Parish Office. Please make checks payable to Notre Dame of Mt. Carmel Church and note "Emmaus 2026" on the memo section of your check. Bless you!
- Registration Form
  
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  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
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  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Best Phone Number to reach you REQUIRED
  
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  Please note any special needs: Please enter valid data.
  
  Emergency Contact Details
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship Please enter valid data.
  
  Phone Number REQUIRED
  
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  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Retreat Payment225.0
  
  Total:
  
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- Click HERE for details regarding this wonderful spiritual opportunity!
- Contacts:
  
  Charles Malaniak
  [email protected]
  973-580-3075
  
  Phil Lamoreux
  [email protected]
  973-615-6371