Individual

If you are registering as an individual or family but will be joining a group retreat or convention, please stop now and contact your group retreat or convention coordinator so they may add you to the rooming list. We will not confirm your registration as an individual or family, if you will be joining a church group retreat or convention during your stay.

Gender*

Individual retreats are for female individuals only. Males desiring to register for an overnight retreat at the convent must, at all times, be accompanied by either their priest, wife, mother, daughter (21 or older), or sister (21 or older) and register as a family or group retreat.

Female
Clergy
Monastic's Family

Name of Monastic Family Member & Relationship*

Name	Relationship

Your Name*

First Last

Email*

Enter Email Confirm Email

Phone Number*

Age*

Arrival Date*

Arrival Time*

Please provide your accurate estimated time of arrival and departure. This will help us make the proper arrangements for your stay.

Departure Date*

Departure Time*

Church Name*

Address*

City State / Province / Region

Is this your first overnight stay?*

If your first visit to the convent was with a group you must select "yes" to the following question.

Yes
No

Name of Father of Confession*

First Last

Email of Father of Confession*

Permission from your confession father is required if this is your first retreat. Please provide us with your confession father's email address - a permission form will be sent on your behalf.

Enter Email Confirm Email

Comments / Notes

St. Mary Retreat House

© St. Mary & St. Demiana Convent
Coptic Orthodox Diocese of the Southern US.

Top ↑

Follow us: 