Virtue Retreat Jan 20-22, 2023

- Retreat Weekends
  - Married Couples Retreats
    
    Virtue Retreat Jan 20-22, 2023
    
    Virtue Retreat Feb 17-19, 2023
    Virtue Retreat Mar 3-5, 2023

Retreat REgistration
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- Registratant Information
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Street 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.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Spouse Information
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Street 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.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Please List All Food Allergies
- Emergency Contact Information
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Payment Information
- Retreat Cost:
  
  The total price for the couples retreat is $400 per couple. $100 is due at registration and the remaining $300 will be due upon registration via check. You also have the option of paying the entire $400 at registration.
- Select Payment Option Below REQUIRED 100.0 – Registration Only (Remaining $300 due at retreat check-in) 400.0 – Pay in Full Now Please fill out this field.
- Email REQUIRED Please fill out this field. Please enter an email address.
Total:

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