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A faith-based, day-long, spiritual retreat for grieving parents offered by a team which includes grieving parents, spiritual directors, priests, deacons, and parish leaders. The Emmaus Journey Retreat offers a safe place where you can seek peace, comfort, and hope. Join us in a warm and loving environment with other parents who know something of your pain.

Registration Information

Registration Selection*

Registrant Selection*

Single Registrant ($25.00)
Only one parent of the deceased will be in attendance
Double Registrant ($40.00)
Both parents of the deceased will be in attendance
Team Member ($15.00)

Participant Information

Name*

First Name for Name Badge*

Email*

Phone Number*

Address*

Gender*

Male
Female

Parish*

Requests for Accommodations

Do you have any dietary restrictions?*

For questions about accessibility or to request an accommodation, please indicate:

How would you like to be contacted to discuss your request?

Additional Information

Emergency Contact Name*

Emergency Phone Number*

Relationship to Emergency Contact*

What do you hope to get from this retreat?*

How did you hear about this retreat?*

Office for Evangelization ads
Parish newsletter/bulletin
Local Church group
From a friend
Other

Your Loved One's Information

In some circumstances, this information can not be known or shared. Thank you for sharing what you can.

Name

Gender

Male
Female

Date of Birth

Date of Passing

Age of Passing

What would you like to tell us about your child?

Billing Information

Name*

Payment Method

Credit Card
Check

Credit Card*

Visa
Mastercard
American Express
Discover

Address*

Email*

Mobile Phone Number*

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