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Shrine Mont Registration
St. Michael's Parish Retreat, September 13-15, 2019
Email address *
Name(s) (for families, please list each member) *
Your answer
Phone Number *
Your answer
Please register each person separately.
Adult in a single occupancy room=$210
Adult in a double occupancy room=$160 each
Children & Youth (age 0-18) are free
Here's the breakdown:
Adult in a single room
Adult in a double room
Youth (age 13-18) in a single room
Youth (age 13-18) in a double room
Child (age 4-12)
Baby/toddler (age 0-3)
1st person
2nd person
3rd person
4th person
5th person
If you would you like to share a double occupancy room with a single adult who is not listed above, please list your roommate's name.
Your answer
Do you have any dietary needs that should be communicated to the dining staff?
Your answer
Do you need a ride? Can you offer to provide a ride to someone in need? *
Is there anything else we should know that would enhance your time at Shrine Mont?
Your answer
Payment may be made by credit card or check.
To pay by credit card, please click here: and indicate the special purpose of your donation as "2019 Shrine Mont Registration," which will appear in the drop down menu. Checks may be turned into the Parish Office.
Method of payment: *
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