Ladies' Retreat 2026 Registration Form

Ladies' Retreat Registration Form

February 26-March 1, 2026 Please fill out one form per participant. Thank you!
Your Birthday

MonthDayYear
Date
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
YesNo
If yes, explain
YesNo
If yes, explain
Roommate Requests

No Single-Occupancy Rooms are available. 3-4 ladies will be assigned to a room.

Please note: your requeste roommate(s) must request you!
Roommate Request 1
Roommate Request 2
Roommate Request 3
YesNo
YesNo
YesNo
Please list any workshops (crafts, classes, activities, etc) you'd be interested in participating in at this Retreat
YesNo
If yes, please list which ones below:
Cost: $125 per person

*You are NOT fully registered until we receive payment for your registration!*

*Online Payment Info is on the next screen*
Mailing a CheckUsing the online payment form on the next screen *optional fee
Should be Empty:

Ladies' Retreat Registration Form