Retreats Registration

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Your Information:

  
*Name:
*Phone:
*Mailing Address:
*City:
*State:
*Zipcode:
*Home Congregation:
Email Address:
Roomate(s):
Comments:
  If applicable, please comment on optional extended stays, special dietary requests, or accommodation choices.

Choose a Retreat:
*Available Retreat:

Make a Payment:

A deposit of $25 is required in addition to completing this registration. Upon submission of this form, you will be redirected to paypal where your payment can be made. You must pay the $25 deposit to complete your registration.