Boulder Offerings - Registration Form

Please print and complete this form.
Mail registration and/or retreat deposit** to:
St. Thomas Aquinas University Parish
Contemplative Outreach of Boulder
904 14th Street
Boulder, CO 80302

Retreat/Activity__________________________________________________________
 
Deposit or Payment_______________________________________________________
 
Name__________________________________________________________________
 
Address________________________________________________________________
                        Street                                              City                                State        Zip
 
Telephone (Home)_________________________ (Work)_______________________
 
Email_________________________________________________________________
 
I will donate $______ to the scholarship/newsletter fund.
 
I wish to attend ______________________________________retreat(s) and will need a partial scholarship of $_____ to do so.
 
**Make checks payable to St. Thomas University Parish.
Retreat deposits are refundable up to three weeks prior to retreat.**

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