Registration

Registration

If registering for a private retreat, please confirm with Nazareth Retreat Center that the dates you are interested in attending are available before submitting this form.

    Your Name (required)

    Your Address (required)

    Your Phone (required)

    Your Email (required)

    Which retreat do you wish to attend?

    Would you like to purchase food service during your stay? (required)
    YesNo

    Arrival Date

    Arrival Time

    Departure Date

    Departure Time

    Emergency contact details (required)

    Do you understand that a $50.00 non-refundable deposit is due within a week in order to reserve your room? (required)
    Yes


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    A $50.00 non-refundable deposit is required within ten days of registration to reserve a space. The total balance is due ten days before the event. Payment may be made through PayPal, cash, or checks made payable to Nazareth Retreat Center. Please be sure to indicate the date of your stay when paying with cash or check.

    Having trouble with the digital form? Print this form instead and email it to us or send via postage: 

    Nazareth Retreat Center
    P.O. Box 7
    Nazareth, KY 40048