Spiritual Exercises

Event

Start Date

End Date

Event Location

Event Address

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Waitlist

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REGISTRATION FORM

Use this form to manage your existing registration.

Please note that fields with asterisks are required. Thank you.

Registrant Information

First Name

Last Name

Mobile Phone

i.e. ###-###-####

Home Phone

i.e. ###-###-####

Country

Address

City

State

Province

State/Province

Postal Code

Are you a Regnum Christi member?

YesNo

Registration Information

Please list any dietary restrictions.

Please alert us if you have any special needs.

Will this be your first RC Spiritual Exercises Retreat?

YesNo

Are you bringing a baby? (Baby must be nursing, under a year, and not yet walking.)

YesNo

Are you willing to lead the singing at Mass?

YesNo

Are you willing to read at retreat?

YesNo

Payment

Room Type

PrivateDouble

Name of preferred roommate

Standard Cost

Payment Due

Payment Type

OnlinePay by CheckIf paying by check; please send check payable to "RC Activities - New Orleans Section" to the attention of Karen Haydel 315 Arlington Dr., Metairie, LA 70001. Your registration is not confirmed until your check payment has posted to your account. Thank you.

Would you like to donate to Retreat Scholarships for the Lake Charles Section devastated by Hurricane Laura?

YesNo

Donation Amount

Refund Policy for Cancellations: Cancellations must be made one week before the retreat. After the deadline cancellations will be assessed one half of the full fee for the room requested unless a substitute is found by three days before the retreat.

I have read and understand the Cancellation Policy.

Payment

Room Type

Name of preferred roommate

Room Cost

Donation Amount

Amount Paid

Payment Type

Payer

Is registrant also the payer?

YesNo

Payer Contact Information

First Name

Last Name

Billing Email

Country

Address

City

State

Province

State/Province

Postal Code

Payment Card Information

Name on Card

Card Number

Code

The Code (CVV- Card Verification Value) is a 3 digit number on the back of VISA, MasterCard and Discover cards and a 4 digit number on the front of American Express cards.