BUKAS-LOOB SA DIYOS

Application Form for Singles Encounter #21

RETREATDATE: October31November2,2008 RETREATLOCATION: FranciscanFriarsoftheAtonement GraymoorSpiritualLifeCenter Garrison,NY10524 Phone:(845)4243671 www.atonementfriars.org MOREINFOONLINE: http://newark.bldsingles.org QUESTIONSORCONCENRS: EarlManguiat:(201)2869470 Email:vincentquest@gmail.com FlorenceManguiat:(201)2862080 Email:ffudalan@gmail.com JosephMadrigal:(908)5909012 JulienneBalcon:(732)8222017 Manny/ArleneMangalonzo:(908)2562622 arlenemanny@gmail.com RETREATINFO: TheretreatisfromFriday(5:30pmtoSunday(5:00pm). TheretreatisopentononmarriedbaptizedCatholicsages20andabove. Mobilecommunications(cellularphones,beepers,laptops,etc..)willnotbe permittedduringtheretreat. Pleaseletusknowbeforehandifyouhaveanymedicalconcernsorrequirements duringtheretreat.Amedicalteamisonsite. Limitedto40participantsonafirstcome,firstservedbasis. Thecommunityalsooffersspecialretreatstoindividualssacramentallymarried and/orhavechildren.

CANDIDATEAPPLICATION&PAYMENTDEADLINE:OCTOBER24,2008
PleasePRINTorTYPEallininformationclearly.ThisapplicationMUSTbefullycompletedandpaymentreceived,tobeconsideredasaparticipatingcandidatefortheretreat.

PARTICIPANTSNAME(Last,First,M.I.)

HOMEADDRESS(No.,Street,City,ZIP)

NICKNAME(Ifany):

DATEOFBIRTH(MM/DD/YYYY)

AGE

GENDER []Male []Female

RELIGION

BLDCOMMUNITYPARTICIPATION YE# MO/YR MO/YR MO/YR MO/YR YLSS# LSS# FE# OTHER

HOMETELEPHONE# []CELL[]PAGER[]FAX PRIMARYEMAILADDRESS

IFSTUDENT,NAMEOFSCHOOL[]FullTime[]PartTime SCHOOLADDRESS(No.,Street,City,State,ZIP)

OCCUPATION&NAMEOFEMPLOYER[]FullTime[]PartTime WORKADDRESS(No.,Street,City,State,ZIP)

PERSONALWEBSITE(i.e.,myspace,facebook,friendster,etc..)

SCHOOLPHONE# WORKPHONE#

PRIMARYCHATAPPLICATION&SCREENNAME (i.e.,AIM,MSN,Yahoo,Google,etc..) PLEASEPROVIDEADDITIONALINFORMATIONBELOW

NAMEOFEMERGENCYCONTACT&RELATIONSHIP NAMEOFFATHER NAMEOFMOTHER NAMEOFFAMILYMEMBERS(brothers,sisters,and/orrelatives) NAMEOFBESTFRIEND

PRIMARYPHONE#

SECONDARYPHONE#

PHONE#

FAX#/EMAILADDRESS

PHONE#

FAX#/EMAILADDRESS

PHONE#

FAX#/EMAILADDRESS

PHONE#

FAX#/EMAILADDRESS

NAMEOFSPONSOR(Whoinvitedyoutothisretreat?Pleaseprovideafullnameandcontactinformation) FORADMINISTRATIONPURPOSESONLY RETREATFEE (MealsIncluded) PAYMENT []CHECK []CASH []MONEYORDER PLEASEMAKECHECKORMONEYORDERPAYABLETO:BLDNEWARK CHECK# AMOUNTPAID: RECEIVEDBY: DATERECEIVED:

WILLYOUNEEDTRANSPORTATION? []YES[]NO

BALANCE: REMARKS:

$120.00

Bukas Loob Sa Diyos Single Ministry of Newark, NJ | www.newark.bldsingles.org

Rev. 9.3 : 10-7-2008

BUKAS-LOOB SA DIYOS
Directions to Singles Encounter #21
RETREATDATE: October31November1,2008 RETREATLOCATION: FranciscanFriarsoftheAtonement GraymoorSpiritualLifeCenter Garrison,NY10524 Phone:(845)4243671 www.atonementfriars.org MOREINFOONLINE: http://newark.bldsingles.org QUESTIONSORCONCENRS: EarlManguiat:(201)2869470 Email:vincentquest@gmail.com FlorenceManguiat:(201)2862080 Email:ffudalan@gmail.com JosephMadrigal:(908)5909012 JulienneBalcon:(732)8222017 Manny/ArleneMangalonzo:(908)2562622 arlenemanny@gmail.com RETREATINFO: TheretreatisfromFriday(5:30pmtoSunday(5:00pm). TheretreatisopentononmarriedbaptizedCatholicsages20 andabove. Mobilecommunications(cellularphones,beepers,laptops, etc...)willnotbepermittedduringtheretreat. Pleaseletusknowbeforehandifyouhaveanymedicalconcerns orrequirementsduringtheretreat.Amedicalteamisonsite. Limitedto40participantsonafirstcome,firstservedbasis. Thecommunityalsooffersspecialretreatstoindividuals sacramentallymarriedand/orhavechildren.

DIRECTIONSTOGRAYMOORSPIRITUALLIFECENTERINGARRISON,NY
FROMNEWYORKCITY 1. TaketheFDRDriveNorthtoWillisAvenueBridge. 2. Crossbridge,turnLEFTonMajorDeeganExpressway. 3. FollowMajorDeeganExpressway(becomesNYState ThruwaypastYonkers)totollsatYonkersPlaza. 4. ExitontoSawMillRiverParkway. 5. FollowSawMillRiverParkwayNorthtoHawthorneto theTaconicStateParkwayexit. 6. OntheTaconicStateParkwaytakeexit9A100North. (leadstoRt.9ANorth) 7. FollowRt.9ANorthtoRt.9. 8. Graymooris15milesnorthonRt.9ontherightside. FROMNJPALISADESINTERSTATEPARKWAY 1. FollowtheParkwaygoingNorthtotheendsignreads ToBearMountain. 2. CrossovertheBearMountainBridge. 3. TurnLeftontoRoute9D(atEndofBridge). 4. FollowRoute9DtoRoute403(5miles). 5. TurnRightontoRoute403(after2milesRoute403joins Route9). 6. GostraightandfollowRoute9Southfor1/2mileto Graymoor(onleftsideofroad).

FROMNJTURNPIKENORTH 1. TakeNJTurnpikeNorthtoGeorgeWashingtonBridge (useLocalExitsroadway). 2. Justbeforethebridgebeattentive.LookforPalisades InterstateParkway(alefthandexit). 3. ExittotrafficlightthenmakeaLEFTturn. 4. Gothrough3trafficlights. 5. EntrancetoPalisadesInterstateParkwayisonthe right. 6. FollowdirectionsfromNJPalisadesInterstate Parkway.

FROMNJGARDENSTATEPARKWAYNORTH FROMUPSTATENEWYORK 1. FollowGSParkwayNorthallthewaytotheend. 1. TakeeitherRt.17SouthorI87(theThruway)toI84 2. Take87South(NewYorkCity)Bearright. East. 3. FollowsignstoTappanZeeBridge(atLeft). 2. TwomilespasttheNewburghBeaconBridgeisPeekskill 4. Exit13NPalisadesParkwayNorth(beforeTappanZee PoughkeepsieExit#13. Bridge). 3. TakeRt.9South(RIGHTturn). 5. FollowdirectionsfromNJPalisadesInterstate 4. Graymooris14milessouthonleftside. Parkway. FROMWESTCHESTERCOUNTY 1. Rt.287WesttowardsTappanBridge. 2. Exitonexit2atElmsfordforRt.9A. 3. AttheendoftherampbearRIGHTonRt.9A. 4. FollowRt.9AandthisroutewillgodirectlyontoRt.9. 5. GraymoorisfourmilesnorthofPeekskillonRt.9. 6. BearRIGHTontoGraymoorproperty.
Bukas Loob Sa Diyos Single Ministry of Newark, NJ | www.newark.bldsingles.org

FROMNEWENGLANDANDCONNECTICUT 1. MassPiketoRt.84atSturbridge. 2. FollowRt.84toRt.9inNewYorkwhichismarked PoughkeepsieorPeekskill 3. AttheendoftherampbearLEFTontoRt.9south. 4. Graymooris14milessouthofRt.84ontheleft.

Rev. 9.3 : 09-7-2008