Rosa Mystica Registration Form
Register for Retreats at the Our Lady of Rosa Mystica House of Prayer right here!
Please note - this form does not take payments. You'll receive an e-mail or phone call regarding payment.
Email *
First Name *
Last Name *
Cell Phone Number *
Street Address *
City *
State *
Zip Code *
I'd like to register for the following day(s)/weekend(s) *
Please select ALL that apply
Required
Number of people in your party *
Names of others in your party
Anything else we should know?
A copy of your responses will be emailed to the address you provided.
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