Women's Silent Retreat Registration Form

Women's Silent Retreat

Saturday, April 18, 2026
For women 18 years of age and older.
Retreat Location: 10341 Manchester Road | Kirkwood, MO 63122

Retreat Schedule:

8:30 am Registration begins

8:45 am Opening Remarks/Orientation

9:30 am Holy Mass w/ Conference

Silence descends. (Adoration, indoor or outdoor personal prayer, and/or rest are possible throughout the remainder of the day.)

12 pm Chanting of the Divine Office w/ the Sisters (optional)

12:30 pm Lunch

2:30 pm Conference (optional)

4:30 pm Benediction (official closing of the retreat)

For those who would like more:

5 pm Chanting of Vespers followed by a talking supper w/ the Sisters
Would you enjoy attending? Register here...
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Age*
Name of the church/parish you attend (if applicable)
How did you find out about this retreat?
Lunch, please!Lunch & supper, please!Thank you, but I will bring my own meal(s) (refrigerator and microwave available)
Food allergies?*
Additional needs, concerns, or comments?
Retreatant Liability Release
I agree on behalf of myself, my successors, and my assigns, to release and hold harmless and defend the Carmelite Sisters of the Divine Heart of Jesus (DCJ) or any representatives associated with the Carmelite Sisters of the Divine Heart of Jesus Silent Women's Retreat, from all damages, claims, suits, expenses and payments for injury to me and/or property, including all damages, claims, suits, expenses and payments resulting from my negligence, of the Carmelite Sisters of the Divine Heart of Jesus, and/or their officers, directors, employees, and/or volunteers.
Electronic Signature:*
MonthDayYear
Date
Emergency Contact Information:
In the event of an emergency, I hereby give permission to the Carmelite Sisters, DCJ to transport me to a hospital to receive emergency medical treatment. I wish to be advised prior to any further treatment by the hospital or doctor. In the event of a medical emergency, please contact:
Name:*

First NameLast Name
Relationship:*
Home Phone:*
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone:*
Please enter a valid phone number.Format: (000) 000-0000.
I relieve the Carmelite Sisters, DCJ of all responsibility and consequences that may arise as a result of this treatment. I will not hold the Carmelite Sisters, DCJ liable in the event of injury. Further, I agree to accept any and all financial responsibility as a result of medical treatment.
Electronic Signature:*
MonthDayYear
Date
I agree
Child Care
The Carmelite Sisters DCJ, with the help of a few high-school or college aged assistants, are happy to offer childcare (8:30-4:45 pm) on our property for up to two children per participant (3 months -7 years) if this would facilitate your ability to attend the retreat. Space, however, will be limited. Therefore, if you are interested in this option, please complete the following information and we will be in communication with you as to whether we can accept watching your children. Further questions? Please contact Sr. Mary Michael: vocations@carmelitedcj.org / 314-965-7616
I will not need childcare.I am interested in childcare.
Child # 1
Name:*

First NameLast Name
Birthdate:*

MonthDayYear
Date
I agree to bring my child's lunch from home
Food allergies:*
Other comments or notes about childcare regarding the above mentioned child (*Note: The Sisters will not take responsibility for any medication distribution):
yesno
Child # 2
Name:*

First NameLast Name
Birthdate:*

MonthDayYear
Date
I agree to bring my child's lunch from home
Food allergies:*
Other comments or notes about childcare regarding the above mentioned child (*Note: The Sisters will not take responsibility for any medication distribution):
Please explain specifically how/why our childcare will facilitate your attending this retreat:
We will let you know as soon as possible if we can accept your petition for child care. Requests will be accepted at the Carmelite Sisters discretion. Should your child/children be accepted, you will need to sign a liability release form to this purpose at registration on the day of the retreat. Thank you!
Yes!No, thank you.
We will kindly accept a suggested donation of $30 on the day of the event. Thank you!
- Your Carmelite Sisters D.C.J.
Should be Empty:

Women's Silent Retreat

Would you enjoy attending? Register here...

Retreatant Liability Release

Emergency Contact Information:

Child Care

Child # 1

Child # 2