Men's Retreat Registration

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Contact Us
- Rosina Hendrickson
  
  Lifelong Faith and Lay Ministry Formation Coordinator
  
  563-888-4244
  hendricksondavenportdiocese.org

Join with other men of the diocese for a retreat and discover your path forward. This day will be filled with stories, insights, practical applications, as well time alone with God. The retreat is being held on Saturday, April 6, 2019 at St. Mary, Solon. For more information, visit the Adult Retreat page.
Men's Retreat Registration
The maximum number of form submissions has been reached. This form is currently not available.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Mailing Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Contact Information - Please provide at least ONE Phone Number and E-mail Address
  
  Cell Phone Number Please enter a phone number.
  
  Home Phone Number Please enter a phone number.
  
  Work Phone Number Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
- .
  
  Month/Day of Birth
  Please provide your Month/Day of Birth - NO YEAR Needed - This is used as an additional identifier in our database
  Please enter valid data.
  
  Please provide your Month/Day of Birth - NO YEAR NEEDED! It is used as an additional identifier in our database.
- .
  
  Parish, City REQUIRED Please fill out this field.
  
  If you are from Outside the Diocese of Davenport, please provide your Parish Name, City and Diocese Please enter valid data.
- .
  
  Please indicate any dietary restrictions
  
  We are always able to accommodate Vegetarian and Gluten-Free requests. We will communicate with you regarding other dietary restrictions.
- Acknowledgements
  
  Cancellation Policy
  
  Cancellations must be received at least 8 days prior to the retreat. Cancellations received after this time will be assessed a $15 cancellation fee.
  
  I have read and understand the Cancellation Policy Please select this field.
  
  No Show Policy
  
  No Shows will not be reimbursed for payments received and if unpaid, will be assessed a $15 no-show fee.
  
  I have read and understand the No Show Policy Please select this field.
- Retreat Fee$30.0
- Payment type:
  
  Credit Card or echeck (electronic check) please select   "Pay Now"
  OR
  Check by US Mail please select   "Pay Later"
  
  US MAIL - If you are paying by US mail please send payment to:
  Check and Money Order payments are payable to Diocese of Davenport. Please indicate "Men's Retreat" in the Memo Line.
  
  Mail to:
  Diocese of Davenport
  Office of Faith Formation
  780 W. Central Park Avenue
  Davenport, IA 52804-1901
  
  If you need an additional invoice or have any questions, please contact Rosina Hendrickson (563-888-4244)
Total: $

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