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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.** |