2022 Retreats Waiting List

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Retreat Name * Select ... June 16-19, 2022 - Women's Silent Retreat

Title * Select ... Mr. Rev. Dcn. Mrs. Miss Sr.

First Name (list both for Couples) *

Last Name *

Address *

City/Town *

State * Select ... AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Zip/Post Code *

Phone *

Email *

Parish Name

Accessiblity 1st Floor Room
1st Floor Room w/ Bathroom Assistance Bars
Handicapped Accessible Room

Please indicate if you use Cane
Walker
Wheelchair

Special Dietary Requests: We will accommodate requests as able; please bring items to supplement.

Questions or Comments

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