REGISTRATION FORM: Wonderfully Made 2 June 2026

Participant Information

Name of Retreatant

Date of Birth

Cell Phone

This address will receive a confirmation email

Home Address

Name of Parish/City/State

Have you attended a Wonderfully Made retreat before?

Yes No

How did you hear about the retreat?

Emergency Contacts

Name

Relationship to Retreatant

Emergency Contact Email

This address will receive a confirmation email

Emergency Contact Cell Number

Other Information

List any allergies.

List any other conditions we should know about the retreatant.

Photographs or videos taken during the events of the weekend may be used for future use to promote similar events. Please indicate whether you may be included:

I agree I disagree

Payment

$225 per person until May 20

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

June 19-21, 2026

St. Mary of Providence Retreat Center
227 Isabella Road, Elverson PA
Cost: $250 per person (partial scholarships available)

REGISTRATION FORM: Wonderfully Made 2 June 2026

Description

Please Fix the Following