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St. Mary's Registration
Postal / Zip code
Liscense Plate Name and State
Emergency Contact Name
Emergency Contact Number
Select Retreat you are Attending
Mary Beth Shaw
All meals are catered at St. Mary's. Please provide any FOOD ALLERGIES you have to inform the caterer.
We value inclusion and access for all participants and will provide reasonable accommodations such as removing barriers, providing close access and chairs for sitting. This event is wheelchair accessible. Please indicate any ADA accomodations.
What is your favorite genre of music?
I have been fully vaccinated. Please upload png/jpg of your official vaccination card/record.
Upload supported file (Max 15MB)
Secure Background Check required by Ohio law due to the campus having a K-12 school on site. https://secure.safevisitorsolutions.com/safe/visitor/007055
St. Mary's Guest Covenant
Have a care plan in case you become unwell while a guest.
Follow all CDC/health guidelines for Covid19 while gathering in small groups.
Wear a mask while inside and with others. Masking is not necessary while outdoors.
Wear your lanyards to identify yourself as a registered guest.
Be symptom free at least 14 days prior to arrival.
Notify Glenda (group leader) if I should become symptomatic.
I agree to St. Mary's Guest Covenant
Submit your Registration
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