June 26-28, 2026

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Address 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 Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Please List any 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.

Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Relationship to Retreatant REQUIRED Please fill out this field. Please enter valid data.

Room Preference REQUIRED 1st Floor 2nd Floor No Preference Please fill out this field.

Suite mate preference (if known) Please enter valid data.

Room # preferred (if known) Please enter valid data.

Religious Affiliation Catholic Baptist Presbyterian Methodist Episcopalian Lutheran Protestant Jewish Other

Age Demographics 21 - 29 30 - 39 40 - 49 50 - 59 60 - 69 70 - 79 80 - 89 90+

Name of Church Parish Please enter valid data.

Retreat Payment

A non-refundable $100.00 deposit is required to secure your registration and will be applied towards your final payment. The full payment includes the deposit amount. If you pay the deposit only, your balance will be due upon check-in for your retreat.

Retreat Payment:

100.0 – Deposit only (Non-refundable)

350.0 – Payment in Full

Donation Opportunities:

All donations received above the full cost of your retreat are considered tax deductible. Donations help us with general operating expenses. Gifts to our Capital Improvements Campaign help us to beautify our facility and address deferred maintenance issues. Thank you for supporting our ministry!

Donations $ Please enter a positive decimal.

Capital Improvements $ Please enter a positive decimal.

Cathie Crochet New Roads 225-638-3863 Andree Soileau Ville Platte 337-831-3770	Aimee McHugh Baton Rouge 225-229-5788 Michelle Soileau Ville Platte 337-831-4872
Renee Wydajewski Virginia 571-331-7751	Mona Rodrigue Donaldsonville 225-445-5114 Ashley Bordelon New Roads 225-718-1984 Theresa Biondo 985-856-1459