Deaf Ladies of the Visitation's 16th Annual Lenten Retreat for the Deaf
With Msgr. Nelson

March 10, 11 & 12, 2023

Bishop Lane Retreat House
7708 E. McGregor Road
Rockford, IL 61102

16th Annual Lenten Retreat Online Registration Form
	Please Note: ALL FIELDS are required
Your Name
Address
City
State
Zip
Phone
Email

Deaf/Hard of Hearing Hearing

Registration Options


Full Weekend Registration --- (Fri., Sat., Sun.) (Includes all meals)
	OR
1 Overnight (meals included) --- (Fri./Sat. OR Sat./Sun.)
	OR
Day ONLY : (No overnight stay)
	Meal Choices (Saturday):
	Meal Choices (Sunday):

	(Method of Payment)

	Total Amount Due	$

	Mail check/money order payable to "Deaf Apostolate."
	Deaf Apostolate Office Attn: Colleen Olsen PO Box 7044 Rockford, IL 61125

___________________________________________________________________________________
*	* If Sharing Room, Provide Roomate Information:
Roommate Name
Address
City
State
Zip



	Registration due by March 1, 2023

Thank you and God bless you!