Our Mother of Mercy Catholic Church 2nd Annual Grace N Grits Women's Retreat Saturday, April 11, 2026

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You are warmly invited to the Our Mother of Mercy Catholic Church Women’s Retreat.
This retreat is also open to young ladies ages 14 and up and must be accompanied by a parent or legal guardian if under the age of 18. Women of any religious background are welcome to attend.
Please complete this form to register. All information will be kept confidential.

Email *

Full Name *

Age *

Date of Birth (Optional but recommended) *

YYYY

Are you registering with a minor? (14-17) *

Yes

If yes, please list their name(s) and ages *

Do you accept full responsibility for the minors listed? *

Yes

Other:

Phone Number *

Parish/Church or where you are visiting from? *

Emergency Contact Name *

Emergency Contact Phone Number *

Consent & Acknowledgment: Photo/Media Permission

I give permission for myself and any minors under the age of 18 listed above in attendance with me to be photographed/recorded during the retreat to be used for parish purposes

Yes

Other:

Do you have any dietary restrictions, medical needs, or accommodations we should be aware of? *

Thank you for registering for the Our Mother of Mercy Catholic Church Women’s Retreat.

We look forward to welcoming you. Additional details will be shared closer to the retreat date. Please add any information you want us to know.

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