Priests Retreat Registration $400 with Lodging $300 without Lodging: Priests Retreat Name*Email* Parish*Parish Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Any Special Dietary Needs?Liturgical Ministry AssignmentsPlease mark those you are willing to do. Please hold down the "Ctrl" key to mark multiples.Liturgy of the Hours - PresiderLiturgy of the Hours - ReaderLiturgy of the Hours - CantorEucharistic - ReaderEucharistic - AcolyteEucharistic - CantorPenance - Vested ConfessorScholaCan help in any wayWould you like to pay online?* Yes No Online PaymentRegistration* Registration with lodging: $400 Registration without lodging: $300 Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Expiration Date Security Code Cardholder Name Share this: Click to share on Facebook (Opens in new window) Facebook Click to share on X (Opens in new window) X
