Six Stone Jars

MISSION

"I AM" RETREAT
Maryvale RETREAT CENTER
Valley City, ND
February 9-11, 2024

Retreat Registration / maps
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  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name 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.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Spouse First and Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Spouse Email Please enter an email address.
  
  Spouse Phone Number Maximum 20 characters Please enter a phone number.
  
  Please List All Food Allergies
  
  Emergency POC Name (Frist and Last) Please enter valid data.
  
  Emergency POC Phone Number Please enter valid data.
  
  Retreat Registration is $400 per couple. Payment due in full at time of registration.400.0
  
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