Retreats

REGISTRATION must be COMPLETED, including payment, by October 12, 2025.

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

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

Mailing Address (number & street 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.

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

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

Age Group REQUIRED Please fill out this field.

With what parish are you currently affiliated? REQUIRED Please fill out this field. Please enter valid data.

Please provide the name & cell phone # of an emergency contact (NOT someone attending with you.) REQUIRED Please fill out this field. Please enter valid data.

Seating will be assigned. Please indicate the name(s) of any participant(s) with whom you are requesting to be seated. Please enter valid data.

I understand my paid registration includes dinner on Friday, and breakfast and lunch on Saturday. REQUIRED Yes. Please fill out this field.

Do you have food allergies? REQUIRED No. Yes, and I understand that it is my responsibility to accommodate my own food allergies. Please fill out this field.

Do you require on-site childcare in order to participate in this retreat? REQUIRED No. (Please scroll to the bottom of this form and proceed to payment.) Yes, and I understand I must complete the remainder of this form to register my children for free childcare BEFORE proceeding to payment for the retreat. Please fill out this field.

CHILDCARE REGISTRATION: How many of your children (ages 3 mo - 12 years) require on-site childcare? Please enter valid data.

I understand I must provide my child(ren) Friday dinner, Saturday breakfast, and Saturday lunch. Snacks and water will be provided on-site by childcare provider, unless allergies are indicated . Yes.

Child 1 - full name Please enter valid data.

Child 1 - age/grade level Please enter valid data.

Child 1 - food allergies? Yes, I will email [email protected] TODAY with specifics. No.

Child 1 - special needs? Yes, I will email [email protected] TODAY with specifics. No.

Child 2 - full name Please enter valid data.

Child 2 - age/grade level Please enter valid data.

Child 2 - food allergies? Yes, I will email [email protected] TODAY with specifics. No.

Child 2 - special needs? Yes, I will email [email protected] TODAY with specifics. No.

Child 3 - full name Please enter valid data.

Child 3 - age/grade level Please enter valid data.

Child 3 - food allergies? Yes, I will email [email protected] TODAY with specifics. No.

Child 3 - special needs? Yes, I will email [email protected] TODAY with specifics. No.

Child 4 - full name Please enter valid data.

Child 4 - age/grade level Please enter valid data.

Child 4 - food allergies? Yes, I will email [email protected] TODAY with specifics. No.

Child 4 - special needs? Yes, I will email [email protected] TODAY with specifics. No.

Please indicate the name & phone number of any teen or adult with Safe Haven training you know who might be willing to volunteer to assist with child care? Please enter valid data.

Early Bird Payment (Price increases to $80 on OCTOBER 2, 2025-NO exceptions). All registrations are NON-REFUNDABLE.65.0

Retreats

Adult Retreat: October 17-18, 2025

St. Bernadette Catholic Church
Archdiocese of Galveston-Houston

Office Hours

Retreats

St. Bernadette Catholic Church Archdiocese of Galveston-Houston

Office Hours

St. Bernadette Catholic Church
Archdiocese of Galveston-Houston