2025 Registration – Mothers' Retreat

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Choose Type of Registration (Click on down arrow for options) *

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Private Room ($121)
Dorm Room ($81)
Commuter ($59)
Shared Private Room ($175) Full size mattress only

Private Room attendees ONLY Please check the box below if you plan to bring your baby with you to the retreat. (Commuters don't need to check this box)

I plan to bring my baby with me to the retreat to spend the night.

*PLEASE NOTE THAT CHOOSING A PRIVATE ROOM REGISTRATION ABOVE DOES NOT GUARANTEE THAT A PRIVATE ROOM IS AVAILABLE. The retreat team will contact you by email to let you know if you are confirmed for a private room or if you have been added to the waiting list for a private room. (We maintain a waiting list for private rooms as there are normally a number of cancellations prior to the retreat.)

I have entered an active email address above so that I can be contacted regarding private room availability.

Name for Registration of 2nd Person in Room (IMPORTANT:Second Person Does Not Register Separately) Please be advised that a shared private room has only one full sized bed.

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Email for Registration of 2nd Person in Room

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In the event that you have been placed on the Waiting List for a Private Room and a room does not become available for you, please let us know how you would like us to adjust your registration (we will refund the difference in registration price as needed.) If no private room becomes available, I will... *

attend the retreat with a Bunk Room Registration.
attend the retreat with a Commuter Registration.
not attend the retreat.

Commuters ONLY (This section should be answered ONLY if you are commuting. Everyone else skip)

I plan on eating breakfast provided by the retreat center as a commuter
I DO NOT plan on eating breakfast provided by retreat center as a commuter

Commuters ONLY (This section should be answered ONLY if you are commuting. Everyone else skip)

I plan on attending both Friday AND Saturday as a commuter
I plan on attending Saturday as a commuter

Choose Method of Payment (Private Room reservations made after Feb. 4, recommend paying by check or delayed payment due to potential waiting list status) *

Pay by Check (Make payable to Melissa Jock. Mail to Mothers' Retreat, P.O. Box 555, Sidney, OH 45365)
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