Clone of Marriage Retreat Registration Form 2025

2026 Marriage Retreat

September 25 - 27, 2025

Stanton, TN

Online Registration

Thank you for your interest in attending the 2026 Marriage Retreat at the Retreat Center in Stanton, TN. The registration fee is only $500 per couple (includes meals, rooms, t-shirt, and gifts. Please complete a separate registration form for each couple attending. If you have any questions about the Marriage Retreat, please call Mario Simmons 901-338-6586 or Faye Simmons 901-604-3210, Angie Bobo 901-493-6651 or Beverly Harbin 901-233-6007.

Date

Husband's First Name*

Last Name*

Husband's E-mail

Husband's Cell Phone Number (or best number)

Area CodePhone Number

Wife's First Name*

Wife's E-mail

Wife's Cell Phone Number

Area CodePhone Number

Street Address

Address Line 2

City

State

Zip Code

Country