Prayer Retreat Registration

Please enter your information below. Cost is $25 per person; register by March 28th; Includes breakfast, lunch, and snack. Checks made to “St Therese Catholic Church" can be mailed to Jan Bonn at 42599 Moody Road; Richland OR 97870. Cash or Check accepted at door on day of event. If you wish to place on credit card, please indicate below and someone will call you to place your order.

Name

First Name

Last Name

Email

Phone

Mailing Address

Please include full address: Street, City, State, Zip Code.

Number of Attendees

Babysitting

Do you need babysitting? If so, indicate 'Yes' and give number of children and ages.

Pay by Card

If you would like to pay by card, indicate 'Yes' and someone will call you. Please leave no card details.

Message

Let us know if you have special needs or questions. We will call you.

Prayer Retreat Registration

Thank you! We will send you a confirmation email or call.

St. Thérèse of Lisieux