Marriage Enrichment Retreat

Marriage Enrichment Retreat Registration Form

September 8-10, 2023
Name
Wife's Name

Wife's First NameWife's Last Name
Husband's Name

Husband's First NameHusband's Last Name
Contact Information
E-mail*
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about this retreat?*
Which Parish?*
Other:*
Emergency Contact
Emergency Contact Name:*
Emergency Contact Phone*
Please enter a valid phone number.
Accommodations
Are you able to climb stairs?*
Dietary Restrictions*

DiabeticGluten-FreeHalalKosherLactose IntolerantNut AllergySeafood AllergyVeganVegetarianNoneOther
Payment Information

To complete your registration, we require a $100.00 deposit to secure your spot. This may be paid via credit card or check. Deposits are non-refundable and non-transferrable.
Full Retreat Cost:
Calculated from Room Preferences selection
What would you like to pay now?*

$100 deposit to secure my spot.Full retreat cost
How would you like to submit payment?*

CheckCredit Card
Pay with Check

Please mail your check to:

St. Anthony Retreat
P.O. Box 249
Three Rivers, CA 93271-0249

Please make checks payable to "St. Anthony Retreat."

Amount to Send: {whatWould}

Full Retreat Cost: {fullRetreat60}
Pay with Credit Card

There are two easy ways to pay with credit card: online or over the phone.

To pay online, please click HERE.

This link will take you the Diocese of Fresno online retreat payment system. You will need to enter some identifying information again. This is so that we can match your payment to your reservation.

Have trouble with the link? Try copying and pasting the following link into your browser address bar: https://dioceseoffresno.org/sign-up-for-retreats

To pay over the phone, please contact us at 559-561-4595.

Amount to Send: {whatWould}

Full Retreat Cost: {accommodation18}
Acknowledgement*

I acknowledge that my reservation will not be complete until I submit the retreat deposit to secure my spot.
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Marriage Enrichment Retreat Registration Form

Name

Contact Information

Emergency Contact

Accommodations

Payment Information