Register for Rachel's Vineyard Retreat for Healing After Abortion

If you have questions about this form or about the retreats, you may call us at (918) 508-7142.

Name
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In case of emergency during the retreat, who may we contact?

Questionnaire

The following questions are very personal, but your answers will help us to understand where you are in your healing process and whether you have any special needs that we should be aware of. All inquiries are confidential.
You do not need to be Catholic or even Christian to participate in a Rachel's Vineyard Retreat. The retreat is Catholic in its presentation and you will have opportunities to attend Mass and to receive private counseling from a priest.
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