Parish Retreat
May 3-5, 2024 | Thank you for your interest in our 2024 Parish Retreat at the Bishop’s Ranch in Healdsburg, CA! We can’t wait to see you.
Simply fill out this form to complete your registration.
Name
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Email
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Phone
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Address
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Food Allergies
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Please select all that apply.
Vegan
Gluten Free
None
How many people would you like to register?
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Please select one option.
One
Two
Three or more
Participant 1 Name
*
Participant 1 Age
*
Please select all that apply.
Adult (18+)
Teen (13-18)
Child (3-12)
Infant
Participant 2 Name
Participant 2 Age
Please select all that apply.
Adult (18+)
Teen (13-18)
Child (3-12)
Infant (0-2)
Participant 3 Name
Participant 3 Age
Please select one option.
Adult (18+)
Teen (13-18)
Child (3-12)
Infant (0-3)
Participant 4 Name
Participant 4 Age
Please select one option.
Adult (18+)
Teen (13-18)
Child (3-12)
Infant (0-2)
Participant 5 Name
Participant 5 Age
Please select one option.
Adult (18+)
Teen (13-18)
Child (3-12)
Infant
Room Request
*
Please select one option.
Cabins
Ranch House
Select Option
Cabins
Ranch House
Do you have a preference for the ground floor?
*
Please select all that apply.
Yes
No
Payment Preference
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Please select one option.
Online Via Credit Card
Check
Payment
1 Adult - Other Lodging (210)
2 Adults - Other Lodging (420)
2 Adults & 1 Youth/Child (550)
Family (4 or more participants) (570)
Pay Via Check (0)
1 Adult - Other Lodging (210)
2 Adults - Other Lodging (420)
2 Adults & 1 Youth/Child (550)
Family (4 or more participants) (570)
Pay Via Check (0)
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
May 3-5, 2024
Thank you for your interest in our 2024 Parish Retreat at the Bishop’s Ranch in Healdsburg, CA! We can’t wait to see you.
Simply fill out this form to complete your registration.
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