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?*December 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. PhoneThis field is for validation purposes and should be left unchanged.