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Day of Prayer, Fellowship, and Reflection
Registration Form

- For more information:
  
  Deacon Randall Waguespack
  
  Director
  Office of Life, Peace & Justice
  
  225-387-0561 x 1185
  rwaguespackdiobr.org
- The maximum number of form submissions has been reached. This form is currently not available.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Affiliation REQUIRED Please fill out this field.
  
  Parish/Council/Chapter REQUIRED Please fill out this field. Please enter valid data.
  
  How many people are coming with your group? REQUIRED Please fill out this field. Please enter valid data.
  
  Names of additional attendees REQUIRED Please fill out this field.
  
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