Widows Retreat Registration Form
Last Registration Day - September 15, 2026
October 3, 2026 10:00am - 2:00pm
First Presbyterian Church * 252 College Ave, Beaver, PA 15009
Attendee Information
Please fill name and contact information of attendees.
Your Name
*
First Name
Last Name
Email Address
*
example@example.com
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Do you have any food allergies?
Is this your 1st time attending our Retreat?
Yes
No
When did you become a widow?
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name of Spouse
*
Would you like to be updated about the upcoming events?
*
Yes
No
Retreat Payment
*
prev
next
( X )
USD
Event Payment Amount
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
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