Married Couples Retreat Fill out the form below to register for an upcoming Married Couple’s Retreat. Husband's Name* First Last Wife's Name* First Last Couple's Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail Which retreat would you like to attend?*Sept 29th – 30thDecember 15th - 16th FAMILY RETREATFebruary 15th - 17th, 2019 - St. Benedict Parish SponsoredMarch 16th - 17th, 2019March 30th - 31st, 2019 sponsored by St. Anthony in LulingMay 4th - 5th, 2019June 21st - 23rd, 2019 $355 per coupleJuly 19th - 21st, 2019 $355 per coupleAugust 24th - 25th, 2019September 28th - 29th, 2019October 12th - 13th, 2019November 16th - 17th, 2019Will this be your first time attending a Willwoods Community Married Couples Retreat?*YesNoDate of your wedding* Do you have children?*YesNoTo what Church Parish do you belong?*How did you hear about us?*Do you have any special dietary needs?I would like to pay for:*Marriage Retreat DepositMarriage Retreat - Friday NightMarriage Retreat - Friday Night + DepositMarriage Retreat - Full Retreat Donation including DepositMarriage Retreat - Full Retreat Donation including Friday nightSt. Benedict Couple at no chargeJune 21st - 23rd, 2019 - DepositJune 21st - 23rd, 2019 - Full Retreat Donation including DepositTotal $0.00 I would like to mail in my check and not use Paypal Send checks to Faith & Marriage Apostolate, 3900 Howard Ave., New Orleans, LA 70125Clicking “submit” will submit your registration form and if the above box is unchecked it will bring you to Paypal.