Divine Mercy Registration Form

Divine Mercy Retreat Registration

Please register for the retreat by filling the form below. The Retreat will take place on April 10-11, 2026.
Full Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Number of people attending*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Which language track do you want?*

I want to attend the English trackQuiero asistir a la pista español
Type of Registration*

Single Friday Only / Sencillo Solo Viernes - $25Single Saturday Only / Sencillo Solo Sabádo - $25Single Both Days / Sencillo Ambos Días - $35Married Couple Friday Only / Casada Pareja Solo Viernes - $35Married Couple Saturday Only / Casada Pareja Solo Sabádo - $35Married Couple Both Days / Casada Pareja Ambos Días - $55Family (2 Adults & 2 Children) Friday Only / Familia (2 Adultos y 2 Niños) Solo Viernes - $55Family (2 Adults & 2 Children) Saturday Only / Familia (2 Adultos y 2 Niños) Solo Sabádo - $55Family (2 Adults & 2 Children) Both Days / Familia (2 Adultos y 2 Niños) Ambos Días - $65Family (2 Adults & 3 Children) Friday Only / Familia (2 Adultos y 3 Niños) Solo Viernes - $70Family (2 Adults & 3 Children) Saturday Only / Familia (2 Adultos y 3 Niños) Solo Sabádo - $70Family (2 Adults & 3 Children) Both Days / Familia (2 Adultos y 3 Niños) Ambos Días - $80Family (2 Adults & 4 Children) Friday Only / Familia (2 Adultos y 4 Niños) Solo Viernes - $85Family (2 Adults & 4 Children) Saturday Only / Familia (2 Adultos y 4 Niños) Solo Sabádo - $85Family (2 Adults & 4 Children) Both Days / Familia (2 Adultos y 4 Niños) Ambos Días - $90Group of 2 Adults Friday Only / Grupo de 2 Adultos Solo Viernes - $45Group of 2 Adults Saturday Only / Grupo de 2 Adultos Solo Sabádo - $45Group of 2 Adults Both Days / Grupo de 2 Adultos Ambos Días - $65Group of 3 Adults Friday Only / Grupo de 3 Adultos Solo Viernes - $65Group of 3 Adults Saturday Only / Grupo de 3 Adultos Solo Sabádo - $65Group of 3 Adults Both Days / Grupo de 3 Adultos Ambos Días - $85Group of 4 Adults Friday Only / Grupo de 4 Adultos Solo Viernes - $85Group of 4 Adults Saturday Only / Grupo de 4 Adultos Solo Sabádo - $85Group of 4 Adults Both Days / Grupo de 4 Adultos Ambos Días - $105
Name of Additional Attendees

Fill in only if applicable
Name & Age (Age for children only)

Name & Age (Age for children only)
Name & Age (Age for children only)

Name & Age (Age for children only)
Name & Age (Age for children only)
Important Note!

After you press "Submit", you must go back to the Divine Mercy Retreat page on the St. Anne website and press the "Pay" button to finish/finalize your registration. Please remember what selection you made under "Type of Registration" as you will need to select the same option from the dropdown menu and pay the corresponding amount you selected. If you do not pay the full amount the registration for the Divine Mercy Retreat will not be considered finished/finalized.
¡Nota importante!

Después de presionar "Enviar", debe regresar a la página del Retiro de la Divina Misericordia en el sitio web de Santa Ana y presionar el botón "Pagar" para finalizar su registro. Recuerde qué selección realizó en "Tipo de registro", ya que deberá seleccionar la misma opción en el menú desplegable y pagar el monto correspondiente que seleccionó. Si no paga el importe total, la inscripción para el Retiro de la Divina Misericordia no se considerará finalizada.
Should be Empty:

Divine Mercy Retreat Registration

Name of Additional Attendees

Important Note!

¡Nota importante!