REGISTRATION FORM: Wonderfully Made 2 May 2024
May 31 - June 2, 2024 | The Inn at Twin Linden
2092 Main Street, Narvon PA
Cost: $200 per person (partial scholarships available)
Participant Information
Name of Retreatant
*
Date of Birth
*
Home Address
*
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Name of Parish/City/State
*
Have you attended a Wonderfully Made retreat before?
*
Please select one option.
Yes
No
How did you hear about the retreat?
*
Emergency Contacts
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:
*
Please select one option.
I agree
I disagree
Payment
$200 per person
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
May 31 - June 2, 2024
The Inn at Twin Linden
2092 Main Street, Narvon PA
Cost: $200 per person (partial scholarships available)
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