Mercy Center Retreat Registration

Step 1 of 2: Submit

Fill out this retreat registration form for each person who will be attending. You will be given the option to pay for your event online through Paypal. Please go to Program Section for our cancellation policy. You may initiate the registration process for any of our programs by completing this form. Please note that registration for all of our programs is complete upon receipt of payment.

Special Dietary Needs

If you have other dietary needs, please list them below. We cannot guarantee that we will be able to accommodate them at all the meals, however.

If you have any special needs with your accommodations.

Person Paying 
Form of Payment 
How did you find out about the program?