2017 SENIOR ADULT RETREAT

Wednesday, Nov. 1 - Thursday Nov. 2, 2017

St. Bernard Retreat Center, 1600 St. Bernard Dr., CUllman, AL35055

"Making A Difference:  We're MAD!"

Name *
Name
Address *
Address
Phone *
Phone
Registration & Housing Options (select one) *
If you chose Option One, please list the name of your preferred roommate here.
Payment Options *
Payment CANNOT be made at the Retreat Site. All payments MUST be processed through the Regional Office

If you would like to pay online, please click here after you have pressed SUBMIT above.  By registering for this event held by the Alabama-NW Florida Region, you are agreeing to the REFUND POLICY.  If you have any questions, or encounter a problem submitting your registration, please contact Susan at 205-425-5245.